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ONE ELEVEN MEDICAL, P.C.

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Company Details

Name: ONE ELEVEN MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Apr 2015 (10 years ago)
Entity Number: 4743607
ZIP code: 10075
County: New York
Place of Formation: New York
Address: 111 EAST 80TH STREET, SUITE 1C, NEW YORK, NY, United States, 10075

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O MICHAEL KRUMHOLZ, MD DOS Process Agent 111 EAST 80TH STREET, SUITE 1C, NEW YORK, NY, United States, 10075

National Provider Identifier

NPI Number:
1770949117

Authorized Person:

Name:
MICHAEL KRUMHOLZ
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2127171688

Filings

Filing Number Date Filed Type Effective Date
150417000104 2015-04-17 CERTIFICATE OF INCORPORATION 2015-04-17

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$47,200
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$47,200
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$47,656.27
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $47,200
Jobs Reported:
13
Initial Approval Amount:
$47,200
Date Approved:
2021-01-22
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$47,200
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$47,669.38
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $47,195
Utilities: $1

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State