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PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC

Company Details

Name: PARK AVENUE ENDOCRINOLOGY & NUTRITION, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Apr 2014 (11 years ago)
Entity Number: 4556394
ZIP code: 12210
County: New York
Place of Formation: New York
Address: 99 WASHINGTON AVENUE, SUITE 805A, ALBANY, NY, United States, 12210

DOS Process Agent

Name Role Address
C/O DELANEY CORPORATE SERVICES, LTD DOS Process Agent 99 WASHINGTON AVENUE, SUITE 805A, ALBANY, NY, United States, 12210

National Provider Identifier

NPI Number:
1952781353
Certification Date:
2023-12-28

Authorized Person:

Name:
CLIFTON JACKNESS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
473380527
Plan Year:
2023
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
16
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
140605000609 2014-06-05 CERTIFICATE OF PUBLICATION 2014-06-05
140403001012 2014-04-03 ARTICLES OF ORGANIZATION 2014-04-03

USAspending Awards / Financial Assistance

Date:
2021-03-27
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:
302700.00
Total Face Value Of Loan:
302700.00
Date:
2020-07-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
-150000.00
Total Face Value Of Loan:
0.00
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:
302700.00
Total Face Value Of Loan:
302700.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
302700
Current Approval Amount:
302700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
306307.17

Date of last update: 25 Mar 2025

Sources: New York Secretary of State