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FULTON MEDICAL P.C.

FULTON MEDICAL P.C.

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Company Details

Name:	FULTON MEDICAL P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	12 Oct 2012 (13 years ago)
Entity Number:	4307212
ZIP code:	11791
County:	Nassau
Place of Formation:	New York
Address:	60 QUEENS STREET SUITE #100, SYOSSET, NY, United States, 11791
Principal Address:	60 QUEENS STREET, SUITE 100, SYOSSET, NY, United States, 11791

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
FULTON MEDICAL P.C.	DOS Process Agent	60 QUEENS STREET SUITE #100, SYOSSET, NY, United States, 11791

Chief Executive Officer

Name	Role	Address
YURI FINK	Chief Executive Officer	87 CHERRY LN, SYOSSET, NY, United States, 11791

National Provider Identifier

NPI Number:

1841635133

Link:

View on NPI website

Authorized Person:

Name:

GRIGORIY KRICHMAR

Role:

OWNER

Phone:

6312719151

Taxonomy:

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 631-271-9151

Form 5500 Series

Employer Identification Number (EIN):

364746865

Plan Year:

2023

Number Of Participants:

21

Sponsors Telephone Number:

6462670210

File:

Plan Year:

2022

Number Of Participants:

20

Sponsors Telephone Number:

6462670210

File:

Plan Year:

2021

Number Of Participants:

17

Sponsors Telephone Number:

9175735667

File:

Plan Year:

2020

Number Of Participants:

13

Sponsors Telephone Number:

9175735667

File:

Plan Year:

2019

Number Of Participants:

10

Sponsors Telephone Number:

9175735667

File:

History

Start date	End date	Type	Value
2015-09-23	2020-11-09	Address	60 QUEENS STREET SUITE #100, SYOSSET, NY, 11791, USA (Type of address: Service of Process)
2014-10-16	2018-10-10	Address	4078 NOSTRAND AVE, APT 2B, BROOKLYN, NY, 11235, USA (Type of address: Chief Executive Officer)
2014-10-16	2018-10-10	Address	200 BOUNDARY AVE, SUITE 200, MASSAPEQUA, NY, 11758, USA (Type of address: Principal Executive Office)
2014-10-16	2015-09-23	Address	200 BOUNDARY AVE., SUITE 200, MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)
2012-10-12	2014-10-16	Address	200 BOUNDARY AVE., MASSAPEQUA, NY, 11758, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
201109060522	2020-11-09	BIENNIAL STATEMENT	2020-10-01
181010006259	2018-10-10	BIENNIAL STATEMENT	2018-10-01
150923000739	2015-09-23	CERTIFICATE OF CHANGE	2015-09-23
141016006340	2014-10-16	BIENNIAL STATEMENT	2014-10-01
121012000083	2012-10-12	CERTIFICATE OF INCORPORATION	2012-10-12

Paycheck Protection Program

Jobs Reported:

14

Initial Approval Amount:

$255,294

Date Approved:

2020-04-30

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$255,294

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$258,511.4

Servicing Lender:

Customers Bank

Use of Proceeds:

Payroll: $255,294

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State