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OCEAN AVENUE MEDICAL PRACTICE, P.C.

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Company Details

Name: OCEAN AVENUE MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Apr 2014 (11 years ago)
Entity Number: 4560151
ZIP code: 11753
County: Kings
Place of Formation: New York
Address: 400 JERICHO TURNPIKE, SUITE 100, JERICHO, NY, United States, 11753

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
PETER BIRZON & ASSOCIATES, P.C. DOS Process Agent 400 JERICHO TURNPIKE, SUITE 100, JERICHO, NY, United States, 11753

National Provider Identifier

NPI Number:
1326468380

Authorized Person:

Name:
LAZAR Y KAGANOVSKY
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7189349560

Filings

Filing Number Date Filed Type Effective Date
140410000610 2014-04-10 CERTIFICATE OF INCORPORATION 2014-04-10

Paycheck Protection Program

Date Approved:
2021-02-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
190700
Current Approval Amount:
190700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
191572.52

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State