MID ISLAND DERMATOLOGY, P.C.

Company Details

Name:	MID ISLAND DERMATOLOGY, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	31 Oct 1994 (30 years ago)
Entity Number:	1863996
ZIP code:	11590
County:	Nassau
Place of Formation:	New York
Address:	55 POST AVENUE, WESTBURY, NY, United States, 11590
Principal Address:	55 POST AVE, WESTBURY, NY, United States, 11590

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Name	Role	Address
THE CORPORATION	DOS Process Agent	55 POST AVENUE, WESTBURY, NY, United States, 11590

Name	Role	Address
ABRAHAM ABITTAN MD	Chief Executive Officer	55 POST AVE., WESTBURY, NY, United States, 11590

Start date	End date	Type	Value
1998-12-14	2002-09-26	Address	55 POST AVE, WESTBURY, NY, 11590, USA (Type of address: Chief Executive Officer)
1994-10-31	2000-12-07	Address	1101 STEWART AVENUE, SUITE 104, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)

Filing Number	Date Filed	Type	Effective Date
101025002449	2010-10-25	BIENNIAL STATEMENT	2010-10-01
080922002643	2008-09-22	BIENNIAL STATEMENT	2008-10-01
060928002875	2006-09-28	BIENNIAL STATEMENT	2006-10-01
050224003317	2005-02-24	BIENNIAL STATEMENT	2004-10-01
020926002397	2002-09-26	BIENNIAL STATEMENT	2002-10-01
001207002474	2000-12-07	BIENNIAL STATEMENT	2000-10-01
981214002149	1998-12-14	BIENNIAL STATEMENT	1998-10-01
941031000108	1994-10-31	CERTIFICATE OF INCORPORATION	1994-10-31

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

9533988409

2021-02-17

0235

PPS

55 Post Ave 1122 Broadway, Westbury, NY, 11590-4361

Loan Status Date	2022-02-19
Loan Status	Paid in Full
Loan Maturity in Months	60
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	23892
Loan Approval Amount (current)	23892
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	4924
Servicing Lender Name	City National Bank
Servicing Lender Address	555 S Flower St, LOS ANGELES, CA, 90071-2300
Rural or Urban Indicator	U
Hubzone	N
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	Westbury, NASSAU, NY, 11590-4361
Project Congressional District	NY-03
Number of Employees	1
NAICS code	621111
Borrower Race	White
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Corporation
Originating Lender ID	4924
Originating Lender Name	City National Bank
Originating Lender Address	LOS ANGELES, CA
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	24119.79
Forgiveness Paid Date	2022-02-02

7345717210

2020-04-28

0235

PPP

55 POST AVE, WESTBURY, NY, 11590-4353

Loan Status Date	2021-05-22
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	23892
Loan Approval Amount (current)	23892
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	4924
Servicing Lender Name	City National Bank
Servicing Lender Address	555 S Flower St, LOS ANGELES, CA, 90071-2300
Rural or Urban Indicator	U
Hubzone	N
LMI	Y
Business Age Description	Existing or more than 2 years old
Project Address	WESTBURY, NASSAU, NY, 11590-4353
Project Congressional District	NY-03
Number of Employees	1
NAICS code	621111
Borrower Race	White
Borrower Ethnicity	Not Hispanic or Latino
Business Type	Corporation
Originating Lender ID	4924
Originating Lender Name	City National Bank
Originating Lender Address	LOS ANGELES, CA
Gender	Male Owned
Veteran	Non-Veteran
Forgiveness Amount	24117.17
Forgiveness Paid Date	2021-04-14

Date of last update: 15 Mar 2025