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FAM PHYSICAL THERAPY OF MILLER PLACE, P.C.

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Company Details

Name: FAM PHYSICAL THERAPY OF MILLER PLACE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 09 Aug 2017 (8 years ago)
Entity Number: 5183791
ZIP code: 11764
County: Suffolk
Place of Formation: New York
Address: 275 ROUTE 25A, MILLER PLACE, NY, United States, 11764

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 275 ROUTE 25A, MILLER PLACE, NY, United States, 11764

National Provider Identifier

NPI Number:
1851819023

Authorized Person:

Name:
MS. TANYA STEPHANIE DUMORNAY
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Fax:
6316895943
Fax:
6313648117

Filings

Filing Number Date Filed Type Effective Date
170809000400 2017-08-09 CERTIFICATE OF INCORPORATION 2017-08-09

USAspending Awards / Financial Assistance

Date:
2021-02-18
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:
77737.00
Total Face Value Of Loan:
77737.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$77,737
Date Approved:
2021-02-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$77,737
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$78,263.93
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $77,734
Utilities: $1
Jobs Reported:
14
Initial Approval Amount:
$91,587
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$91,587
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$92,407.26
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $62,641
Utilities: $3,500
Mortgage Interest: $1,983
Rent: $22,017
Healthcare: $1446

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State