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436 GWB MEDICAL OFFICE, P.C.

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Company Details

Name: 436 GWB MEDICAL OFFICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 May 2017 (8 years ago)
Entity Number: 5136454
ZIP code: 10033
County: New York
Place of Formation: New York
Address: 435 FORT WASHINGTON AVE, SUITE 1C, NEW YORK, NY, United States, 10033

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
436 GWB MEDICAL OFFICE, P.C. DOS Process Agent 435 FORT WASHINGTON AVE, SUITE 1C, NEW YORK, NY, United States, 10033

Chief Executive Officer

Name Role Address
JOSE A. GORIS Chief Executive Officer 435 FORT WASHINGTON AVE, SUITE 1C, NEW YORK, NY, United States, 10033

National Provider Identifier

NPI Number:
1366952913

Authorized Person:

Name:
JOSE A GORIS
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
2129237051

History

Start date End date Type Value
2017-05-12 2020-05-28 Address 435 FORT WASHINGTON AVE STE 1C, NEW YORK, NY, 10033, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200528060426 2020-05-28 BIENNIAL STATEMENT 2019-05-01
170512000439 2017-05-12 CERTIFICATE OF INCORPORATION 2017-05-12

USAspending Awards / Financial Assistance

Date:
2020-05-02
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:
41210.00
Total Face Value Of Loan:
41210.00

Paycheck Protection Program

Jobs Reported:
6
Initial Approval Amount:
$41,210
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$41,210
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$41,608.25
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $34,210
Utilities: $1,000
Rent: $6,000

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State