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ERIC J. YOUSHA, D.O., P.C.

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Company Details

Name: ERIC J. YOUSHA, D.O., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 May 2018 (7 years ago)
Entity Number: 5338796
ZIP code: 11530
County: Nassau
Place of Formation: New York
Address: 100 QUENTIN, ROOSEVELT BLVD,, STE 102, GARDEN CITY, NY, United States, 11530

Contact Details

Phone +1 516-204-1320

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
LEWIS A. BARTELL DOS Process Agent 100 QUENTIN, ROOSEVELT BLVD,, STE 102, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1912461351
Certification Date:
2024-04-01

Authorized Person:

Name:
ERIC J YOUSHA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8452714280
Fax:
5162267151

Filings

Filing Number Date Filed Type Effective Date
180510000081 2018-05-10 CERTIFICATE OF INCORPORATION 2018-05-10

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$20,832
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,832
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$20,953.92
Servicing Lender:
The First National Bank of Long Island
Use of Proceeds:
Payroll: $20,832

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State