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ISLAND DERMATOLOGY, P.C.

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Company Details

Name: ISLAND DERMATOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Jul 1992 (33 years ago)
Entity Number: 1649841
ZIP code: 11561
County: New York
Place of Formation: New York
Address: 38 PRESCOTT STREET, LIDO BEACH, NY, United States, 11561

Contact Details

Phone +1 631-598-5373

Phone +1 516-432-0011

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
RONALD H FALCON DOS Process Agent 38 PRESCOTT STREET, LIDO BEACH, NY, United States, 11561

Chief Executive Officer

Name Role Address
RONALD H FALCON Chief Executive Officer 38 PRESCOTT STREET, LIDO BEACH, NY, United States, 11561

National Provider Identifier

NPI Number:
1316996937

Authorized Person:

Name:
DR. RONALD HARLAN FALCON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
No
Selected Taxonomy:
207ND0900X - Dermatopathology Physician
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
5164321686

Form 5500 Series

Employer Identification Number (EIN):
113114920
Plan Year:
2017
Number Of Participants:
48
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
46
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
45
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
43
Sponsors Telephone Number:

History

Start date End date Type Value
1996-07-17 2020-08-03 Address 604 EAST PARK AVE, LONG BEACH, NY, 11561, 2505, USA (Type of address: Chief Executive Officer)
1996-07-17 2020-08-03 Address 604 EAST PARK AVE, LONG BEACH, NY, 11561, 2505, USA (Type of address: Service of Process)
1993-08-12 1996-07-17 Address 604 EAST PARK AVENUE, LONG BEACH, NY, 11561, USA (Type of address: Chief Executive Officer)
1993-08-12 1996-07-17 Address 604 EAST PARK AVENUE, LONG BEACH, NY, 11561, USA (Type of address: Principal Executive Office)
1993-08-12 1996-07-17 Address 604 EAT PARK AVENUE, LONG BEACH, NY, 11561, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200803060940 2020-08-03 BIENNIAL STATEMENT 2020-07-01
180703007646 2018-07-03 BIENNIAL STATEMENT 2018-07-01
160713006293 2016-07-13 BIENNIAL STATEMENT 2016-07-01
140731006319 2014-07-31 BIENNIAL STATEMENT 2014-07-01
120801002401 2012-08-01 BIENNIAL STATEMENT 2012-07-01

USAspending Awards / Financial Assistance

Date:
2010-09-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
-40000.00
Total Face Value Of Loan:
607000.00

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State