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EXCELSIOR INTEGRATED MEDICAL GROUP PLLC

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Company Details

Name: EXCELSIOR INTEGRATED MEDICAL GROUP PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 Aug 2013 (12 years ago)
Entity Number: 4453467
ZIP code: 10013
County: Kings
Place of Formation: New York
Address: 94 BOWERY, GROUND FL, NEW YORK, NY, United States, 10013

Contact Details

Phone +1 718-872-7777

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DOS Process Agent

Name Role Address
EXCELSIOR INTEGRATED MEDICAL GROUP PLLC DOS Process Agent 94 BOWERY, GROUND FL, NEW YORK, NY, United States, 10013

National Provider Identifier

NPI Number:
1275081838

Authorized Person:

Name:
DR. GEOGRE HALL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2123908177

Form 5500 Series

Employer Identification Number (EIN):
463308133
Plan Year:
2019
Number Of Participants:
115
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
80
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
80
Sponsors Telephone Number:

History

Start date End date Type Value
2025-05-07 2025-05-13 Address 94 BOWERY, GROUND FL, NEW YORK, NY, 10013, USA (Type of address: Service of Process)
2020-02-19 2025-05-07 Address 94 BOWERY, GROUND FL, NEW YORK, NY, 10003, USA (Type of address: Service of Process)
2013-08-30 2020-02-19 Address 762 59TH STREET, GROUND FL, BROOKLYN, NY, 11220, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250513000145 2025-05-12 CERTIFICATE OF CHANGE BY ENTITY 2025-05-12
250507001687 2025-05-07 BIENNIAL STATEMENT 2025-05-07
221026000896 2022-10-26 BIENNIAL STATEMENT 2021-08-01
200219060193 2020-02-19 BIENNIAL STATEMENT 2019-08-01
180802006658 2018-08-02 BIENNIAL STATEMENT 2017-08-01

USAspending Awards / Financial Assistance

Date:
2021-02-20
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
840727.00
Total Face Value Of Loan:
840727.00
Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
840725.00
Total Face Value Of Loan:
840725.00

Trademarks Section

Serial Number:
86844288
Mark:
EIMG
Status:
CANCELLED - SECTION 8
Mark Type:
SERVICE MARK
Application Filing Date:
2015-12-09
Mark Drawing Type:
Illustration: Drawing or design which also includes word(s)/letter(s)/number(s)
Mark Literal Elements:
EIMG

Goods And Services

For:
Medical services; Medical house call services; Medical radiology services; Medical imaging services; Physical therapy services; Acupuncture services; X-ray technician services; Medical ultrasound imaging services
First Use:
2014-01-01
International Classes:
044 - Primary Class
Class Status:
Sec. 8 – Entire Registration
For:
medical laboratory services
First Use:
2014-01-01
International Classes:
042 - Primary Class
Class Status:
Sec. 8 – Entire Registration

Paycheck Protection Program

Date Approved:
2021-02-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
840727
Current Approval Amount:
840727
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
850953.93

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State