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KEZMED MEDICAL P.C.

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Company Details

Name: KEZMED MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Oct 2013 (12 years ago)
Entity Number: 4471660
ZIP code: 10461
County: New York
Place of Formation: New York
Address: 1963 WILLIAMSBRIDGE ROAD, BRONX, NY, United States, 10461

Contact Details

Phone +1 646-530-8447

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
ANNA KEZERASHVILI Chief Executive Officer 1963 WILLIAMSBRIDGE ROAD, BRONX, NY, United States, 10461

DOS Process Agent

Name Role Address
KEZMED MEDICAL P.C. DOS Process Agent 1963 WILLIAMSBRIDGE ROAD, BRONX, NY, United States, 10461

National Provider Identifier

NPI Number:
1366871378

Authorized Person:

Name:
ANDREW ORMSON
Role:
CREDENTIALER
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-10-25 2023-10-25 Address 1963 WILLIAMSBRIDGE ROAD, BRONX, NY, 10461, USA (Type of address: Chief Executive Officer)
2017-08-08 2023-10-25 Address 1963 WILLIAMSBRIDGE ROAD, BRONX, NY, 10461, USA (Type of address: Chief Executive Officer)
2017-08-08 2023-10-25 Address 1963 WILLIAMSBRIDGE ROAD, BRONX, NY, 10461, USA (Type of address: Service of Process)
2013-10-11 2023-10-25 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2013-10-11 2017-08-08 Address 228 PARK AVENUE SOUTH, #36910, NEW YORK, NY, 10003, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231025003115 2023-10-25 BIENNIAL STATEMENT 2023-10-01
211222000942 2021-12-22 BIENNIAL STATEMENT 2021-12-22
170808006354 2017-08-08 BIENNIAL STATEMENT 2015-10-01
131011000052 2013-10-11 CERTIFICATE OF INCORPORATION 2013-10-11

Paycheck Protection Program

Jobs Reported:
9
Initial Approval Amount:
$102,100
Date Approved:
2021-01-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$102,100
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$102,806.19
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $102,097
Utilities: $1
Jobs Reported:
9
Initial Approval Amount:
$102,100
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$102,100
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$102,817.54
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $102,100

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State