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PORT JEFF MEDICINE P.C.

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Company Details

Name: PORT JEFF MEDICINE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 May 2017 (8 years ago)
Entity Number: 5144040
ZIP code: 11776
County: Suffolk
Place of Formation: New York
Address: 2 MEDICAL DRIVE SUITE D, PORT JEFFERSON STA, NY, United States, 11776

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
DEEPTI GUPTA DOS Process Agent 2 MEDICAL DRIVE SUITE D, PORT JEFFERSON STA, NY, United States, 11776

National Provider Identifier

NPI Number:
1346770484

Authorized Person:

Name:
DEEPTI GUPTA
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6313315017

Filings

Filing Number Date Filed Type Effective Date
170526000064 2017-05-26 CERTIFICATE OF INCORPORATION 2017-05-26

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:
43812.00
Total Face Value Of Loan:
43812.00
Date:
2020-04-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
5000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
43812
Current Approval Amount:
43812
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
44328.42

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State