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MODERN GASTROENTEROLOGY P.C.

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Company Details

Name: MODERN GASTROENTEROLOGY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Aug 2014 (11 years ago)
Entity Number: 4624069
ZIP code: 11228
County: Kings
Place of Formation: New York
Address: 947 79 STREET, SUITE 1, BROOKLYN, NY, United States, 11228

Contact Details

Phone +1 718-301-8487

Phone +1 718-818-4360

Phone +1 718-818-2117

Phone +1 718-265-2222

Phone +1 718-818-1058

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 947 79 STREET, SUITE 1, BROOKLYN, NY, United States, 11228

National Provider Identifier

NPI Number:
1578965638

Authorized Person:

Name:
KONSTANTIN VAIZMAN
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Fax:
7183331023

Filings

Filing Number Date Filed Type Effective Date
140819000606 2014-08-19 CERTIFICATE OF INCORPORATION 2014-08-19

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$30,878
Date Approved:
2021-05-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$30,878
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$31,015.24
Servicing Lender:
Capital One, National Association
Use of Proceeds:
Payroll: $30,878
Jobs Reported:
4
Initial Approval Amount:
$30,000
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$30,000
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$30,364.17
Servicing Lender:
Capital One, National Association
Use of Proceeds:
Payroll: $30,000

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State