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ANDREW S. GARDNER, M.D., P.C.

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Company Details

Name: ANDREW S. GARDNER, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Aug 2016 (9 years ago)
Entity Number: 4994550
ZIP code: 12207
County: New York
Place of Formation: New York
Address: 80 STATE STREET, ALBANY, NY, United States, 12207
Principal Address: 345 EAST 37TH ST, STE 311, NEW YORK, NY, United States, 10016

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
ANDREW GARDNER Chief Executive Officer 345 EAST 37TH ST, STE 311, NEW YORK, NY, United States, 10016

DOS Process Agent

Name Role Address
CORPORATION SERVICE COMPANY DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

National Provider Identifier

NPI Number:
1760907794

Authorized Person:

Name:
DR. ANDREW SCOTT GARDNER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2126820121

Form 5500 Series

Employer Identification Number (EIN):
813611139
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
6
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
200811060840 2020-08-11 BIENNIAL STATEMENT 2020-08-01
160817000035 2016-08-17 CERTIFICATE OF INCORPORATION 2016-08-17

USAspending Awards / Financial Assistance

Date:
2021-04-01
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:
140600.00
Total Face Value Of Loan:
140600.00
Date:
2021-03-19
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:
-140600.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
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:
140600.00
Total Face Value Of Loan:
140600.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$140,600
Date Approved:
2021-04-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$140,600
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$142,252.05
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $140,598
Utilities: $1
Jobs Reported:
6
Initial Approval Amount:
$140,600
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$140,600
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$142,130.98
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $140,600

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State