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FIVE STAR MEDICAL OFFICE, P.C.

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Company Details

Name: FIVE STAR MEDICAL OFFICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Aug 2012 (13 years ago)
Entity Number: 4283753
ZIP code: 12207
County: Queens
Place of Formation: New York
Address: 80 State Street, Albany, NY, United States, 12207
Principal Address: 169 Madison Ave., Suite 2817, New York, NY, United States, 10016

Contact Details

Phone +1 718-454-2500

Phone +1 718-576-4652

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
CORPORATION SERVICE COMPANY DOS Process Agent 80 State Street, Albany, NY, United States, 12207

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 80 STATE STREET, ALBANY, NY, 12207

Chief Executive Officer

Name Role Address
CARA CHEVALIER, MD Chief Executive Officer 169 MADISON AVE., SUITE 2817, NEW YORK, NY, United States, 10016

National Provider Identifier

NPI Number:
1760731459
Certification Date:
2023-03-15

Authorized Person:

Name:
DR. CELESTE DAYE
Role:
VP REVENUE MANAGEMENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5167107846

History

Start date End date Type Value
2024-08-13 2024-08-13 Address 345 PARK AVENUE S., NEW YORK, NY, 10010, USA (Type of address: Chief Executive Officer)
2024-08-13 2024-08-13 Address PO BOX 801280, KANSAS CITY, MO, 64180, 1280, USA (Type of address: Chief Executive Officer)
2024-08-13 2024-08-13 Address 169 MADISON AVE., SUITE 2817, NEW YORK, NY, 10016, USA (Type of address: Chief Executive Officer)
2024-08-13 2024-08-13 Address 72-24 KISSENA BOULEVARD #1H, FLUSHING, NY, 11367, USA (Type of address: Chief Executive Officer)
2024-08-13 2024-08-13 Address 80-64 SURREY PL, JAMAICA, NY, 11432, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
240813001287 2024-08-12 CERTIFICATE OF CHANGE BY ENTITY 2024-08-12
240801040345 2024-08-01 BIENNIAL STATEMENT 2024-08-01
230725000234 2023-07-25 AMENDMENT TO BIENNIAL STATEMENT 2023-07-25
220811002240 2022-08-11 BIENNIAL STATEMENT 2022-08-01
210910001779 2021-09-10 AMENDMENT TO BIENNIAL STATEMENT 2021-09-10

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$6,250
Date Approved:
2020-07-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$6,250
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$6,295.09
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $5,600
Utilities: $650
Mortgage Interest: $0
Rent: $0
Refinance EIDL: $0
Healthcare: $0
Debt Interest: $0

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State