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W. BRUCE CLARK, M.D., P.C.

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Company Details

Name: W. BRUCE CLARK, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Nov 1984 (41 years ago)
Entity Number: 956321
ZIP code: 12110
County: Albany
Place of Formation: New York
Address: 585 NEW LOUDON RD, LATHAM, NY, United States, 12110

Contact Details

Phone +1 518-783-1472

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
W. BRUCE CLARK, MD DOS Process Agent 585 NEW LOUDON RD, LATHAM, NY, United States, 12110

Chief Executive Officer

Name Role Address
W. BRUCE CLARK, MD Chief Executive Officer 585 NEW LOUDON RD, LATHAM, NY, United States, 12110

National Provider Identifier

NPI Number:
1396959110

Authorized Person:

Name:
DENISE MCNAMARA
Role:
MEDICAL BILLER
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
5187831605

Form 5500 Series

Employer Identification Number (EIN):
141659231
Plan Year:
2023
Number Of Participants:
37
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
40
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
41
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
37
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
37
Sponsors Telephone Number:

History

Start date End date Type Value
1984-11-13 1992-11-20 Address 623 NEW LOUDON RD., LATHAM, NY, 12110, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
221110000193 2022-11-10 BIENNIAL STATEMENT 2022-11-01
161102007112 2016-11-02 BIENNIAL STATEMENT 2016-11-01
141103007965 2014-11-03 BIENNIAL STATEMENT 2014-11-01
121109006175 2012-11-09 BIENNIAL STATEMENT 2012-11-01
101117003153 2010-11-17 BIENNIAL STATEMENT 2010-11-01

Paycheck Protection Program

Jobs Reported:
29
Initial Approval Amount:
$493,745
Date Approved:
2020-05-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$493,745
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$500,589.79
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $493,745

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State