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AVENUE X PRIMARY MEDICAL CARE P.C.

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Company Details

Name: AVENUE X PRIMARY MEDICAL CARE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Mar 2017 (8 years ago)
Entity Number: 5100404
ZIP code: 11223
County: Kings
Place of Formation: New York
Address: 400 Avenue X, 20F, BROOKLYN, NY, United States, 11223
Principal Address: 400 Avenue X, 20F, Brooklyn, NY, United States, 11223

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
AVENUE X PRIMARY MEDICAL CARE P.C. DOS Process Agent 400 Avenue X, 20F, BROOKLYN, NY, United States, 11223

Chief Executive Officer

Name Role Address
DR. LEV PAUKMAN Chief Executive Officer 400 AVENUE X, 20F, BROOKLYN, NY, United States, 11223

National Provider Identifier

NPI Number:
1053415661

Authorized Person:

Name:
LEV J. PAUKMAN, M.D.
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7183765078

History

Start date End date Type Value
2025-03-01 2025-06-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-03-01 2025-03-01 Address 400 AVENUE X, 20F, BROOKLYN, NY, 11223, USA (Type of address: Chief Executive Officer)
2025-03-01 2025-03-01 Address 400 AVENUE X, BROOK, NY, 11223, USA (Type of address: Chief Executive Officer)
2023-12-30 2025-03-01 Address 400 AVENUE X, BROOK, NY, 11223, USA (Type of address: Chief Executive Officer)
2023-12-30 2025-03-01 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
250301049543 2025-03-01 BIENNIAL STATEMENT 2025-03-01
231230008454 2023-12-30 BIENNIAL STATEMENT 2023-12-30
170310000664 2017-03-10 CERTIFICATE OF INCORPORATION 2017-03-10

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$155,637
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$155,637
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$157,949.94
Servicing Lender:
TD Bank, National Association
Use of Proceeds:
Payroll: $155,637

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State