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ACTIVE CARE PHYSICIAN P.C.

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Company Details

Name: ACTIVE CARE PHYSICIAN P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Nov 2012 (13 years ago)
Entity Number: 4323709
ZIP code: 10013
County: New York
Place of Formation: New York
Address: 70 BOWERY, STE 404, NEW YORK, NY, United States, 10013

Contact Details

Phone +1 212-343-8290

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Agent

Name Role Address
BLANCHE LEUNG, M.D. Agent 70 BOWERY, STE 404, NEW YORK, NY, 10013

DOS Process Agent

Name Role Address
ACTIVE CARE PHYSICIAN P.C. DOS Process Agent 70 BOWERY, STE 404, NEW YORK, NY, United States, 10013

Chief Executive Officer

Name Role Address
BLANCHE LEUNG Chief Executive Officer 70 BOWERY, STE 404, NEW YORK, NY, United States, 10013

National Provider Identifier

NPI Number:
1912244567

Authorized Person:

Name:
DR. BLANCHE SAU LEUNG
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2123438328

Form 5500 Series

Employer Identification Number (EIN):
461449001
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
2
Sponsors Telephone Number:

History

Start date End date Type Value
2015-04-10 2020-06-16 Address 70 BOWERY, STE 404, NEW YORK, NY, 10013, USA (Type of address: Principal Executive Office)
2012-11-26 2015-04-10 Address 196 CANAL STREET, 5TH FL FRONT, NEW YORK, NY, 10013, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210201061323 2021-02-01 BIENNIAL STATEMENT 2020-11-01
200616002004 2020-06-16 AMENDMENT TO BIENNIAL STATEMENT 2018-11-01
200615000655 2020-06-15 CERTIFICATE OF CHANGE 2020-06-15
181120006465 2018-11-20 BIENNIAL STATEMENT 2018-11-01
161214006231 2016-12-14 BIENNIAL STATEMENT 2016-11-01

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$25,655
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$25,655
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$25,896.58
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $25,655

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State