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FIVE CREST MEDICAL DIAGNOSTIC P.C.

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Company Details

Name: FIVE CREST MEDICAL DIAGNOSTIC P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Jul 2016 (9 years ago)
Entity Number: 4982186
ZIP code: 11802
County: Nassau
Place of Formation: New York
Address: po box 7114, HICKSVILLE, NY, United States, 11802

Contact Details

Phone +1 347-462-2422

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent po box 7114, HICKSVILLE, NY, United States, 11802

National Provider Identifier

NPI Number:
1104378058

Authorized Person:

Name:
SONIA WALKER
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-08-22 2024-08-15 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-07-20 2023-08-22 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-07-13 2023-07-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-05-22 2023-07-13 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-05-16 2023-05-22 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
211119002456 2021-11-19 CERTIFICATE OF CHANGE BY ENTITY 2021-11-19
160725000460 2016-07-25 CERTIFICATE OF INCORPORATION 2016-07-25

USAspending Awards / Financial Assistance

Date:
2021-01-30
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:
6250.00
Total Face Value Of Loan:
6250.00
Date:
2020-06-26
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:
7150.00
Total Face Value Of Loan:
7150.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$6,250
Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$6,250
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$6,296.23
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $6,250
Jobs Reported:
1
Initial Approval Amount:
$7,150
Date Approved:
2020-06-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$7,150
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$7,221.89
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $7,150

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State