|
BRONX COMMUNITY MEDICINE PLLC
|
2022
|
462514048
|
2024-01-19
|
BRONX COMMUNITY MEDICINE PLLC
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
7187084040
|
| Plan sponsor’s
address |
2676 GRAND CONCOURSE A, BRONX, NY, 10458
|
Signature of
| Role |
Plan administrator |
| Date |
2024-01-19 |
| Name of individual signing |
YOHANNA MERCEDES |
|
|
|
BRONX COMMUNITY MEDICINE PLLC
|
2021
|
462514048
|
2023-02-17
|
BRONX COMMUNITY MEDICINE PLLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
7187084040
|
| Plan sponsor’s
address |
2676 GRAND CONCOURSE A, BRONX, NY, 10458
|
Signature of
| Role |
Plan administrator |
| Date |
2023-02-17 |
| Name of individual signing |
YOHANNA MERCEDES |
|
|
|
BRONX COMMUNITY MEDICINE PLLC
|
2020
|
462514048
|
2022-01-19
|
BRONX COMMUNITY MEDICINE PLLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
7187084040
|
| Plan sponsor’s
address |
2676 GRAND CONCOURSE A, BRONX, NY, 10458
|
Signature of
| Role |
Plan administrator |
| Date |
2022-01-19 |
| Name of individual signing |
YOHANNA MERCEDES |
|
|
|
BRONX COMMUNITY MEDICINE PLLC
|
2020
|
462514048
|
2021-12-23
|
BRONX COMMUNITY MEDICINE PLLC
|
12
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
7187084040
|
| Plan sponsor’s
address |
2676 GRAND CONCOURSE A, BRONX, NY, 10458
|
Signature of
| Role |
Plan administrator |
| Date |
2021-12-23 |
| Name of individual signing |
YOHANNA MERCEDES |
|
|
|
BRONX COMMUNITY MEDICINE PLLC
|
2019
|
462514048
|
2021-05-21
|
BRONX COMMUNITY MEDICINE PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
7187084040
|
| Plan sponsor’s
address |
2676 GRAND CONCOURSE A, BRONX, NY, 10458
|
Signature of
| Role |
Plan administrator |
| Date |
2021-05-21 |
| Name of individual signing |
YOHANNA MERCEDES |
|
|
|
BRONX COMMUNITY MEDICINE PLLC
|
2019
|
462514048
|
2021-05-13
|
BRONX COMMUNITY MEDICINE PLLC
|
7
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
7187084040
|
| Plan sponsor’s
address |
2676 GRAND CONCOURSE A, BRONX, NY, 10458
|
Signature of
| Role |
Plan administrator |
| Date |
2021-05-13 |
| Name of individual signing |
YOHANNA MERCEDES |
|
|
|
BRONX COMMUNITY MEDICINE PLLC
|
2018
|
462514048
|
2019-10-31
|
BRONX COMMUNITY MEDICINE PLLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621498
|
| Sponsor’s telephone number |
7187084040
|
| Plan sponsor’s
address |
2676 GRAND CONCOURSE A, BRONX, NY, 10458
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-31 |
| Name of individual signing |
YOHANNA MERCEDES |
|
|
