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MEDICAL PRACTICE PLLC

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Company Details

Name: MEDICAL PRACTICE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Jul 2016 (9 years ago)
Entity Number: 4984787
ZIP code: 11753
County: Queens
Place of Formation: New York
Address: 380 NORTH BROADWAY, STE. 408, JERICHO, NY, United States, 11753

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 380 NORTH BROADWAY, STE. 408, JERICHO, NY, United States, 11753

National Provider Identifier

NPI Number:
1275071656
Certification Date:
2024-03-22

Authorized Person:

Name:
ABUL KASHEM
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2016-07-28 2019-09-18 Address 2512 148TH ST., FLUSHING, NY, 11354, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
210830002413 2021-08-30 BIENNIAL STATEMENT 2021-08-30
190918000030 2019-09-18 CERTIFICATE OF CHANGE 2019-09-18
170113000583 2017-01-13 CERTIFICATE OF PUBLICATION 2017-01-13
160728000730 2016-07-28 ARTICLES OF ORGANIZATION 2016-07-28

USAspending Awards / Financial Assistance

Date:
2021-01-26
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:
12600.00
Total Face Value Of Loan:
12600.00
Date:
2020-06-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-06-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-06-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-08
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:
20833.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$12,600
Date Approved:
2021-01-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$12,600
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$12,765.9
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $12,600
Jobs Reported:
5
Initial Approval Amount:
$12,600
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$12,600
Race:
Asian
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$12,757.15
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $12,600

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State