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DR. STUART R. LEVINE, DERMATOLOGY AND DERMATOLOGIC SURGERY, P.C.

DR. STUART R. LEVINE, DERMATOLOGY AND DERMATOLOGIC SURGERY, P.C.

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Company Details

Name:	DR. STUART R. LEVINE, DERMATOLOGY AND DERMATOLOGIC SURGERY, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	24 Nov 1997 (28 years ago)
Entity Number:	2202146
ZIP code:	11214
County:	Nassau
Place of Formation:	New York
Address:	1717 86TH ST, BROOKLYN, NY, United States, 11214

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
DR STUART R LEVINE	Chief Executive Officer	1717 86TH ST, BROOKLYN, NY, United States, 11214

DOS Process Agent

Name	Role	Address
DR STUART R LEVINE	DOS Process Agent	1717 86TH ST, BROOKLYN, NY, United States, 11214

National Provider Identifier

NPI Number:

1053622464

Link:

View on NPI website

Authorized Person:

Name:

STUART R LEVINE

Role:

OWNER

Phone:

7183313122

Taxonomy:

Selected Taxonomy:

207N00000X - Dermatology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 718-331-3122

Fax:

7186214668

Form 5500 Series

Employer Identification Number (EIN):

113397126

Plan Year:

2015

Number Of Participants:

24

Sponsors Telephone Number:

7183313122

File:

Plan Year:

2014

Number Of Participants:

22

Sponsors Telephone Number:

7183313122

File:

Plan Year:

2013

Number Of Participants:

16

Sponsors Telephone Number:

7183313122

File:

Plan Year:

2012

Number Of Participants:

19

Sponsors Telephone Number:

7183313122

File:

Plan Year:

2011

Number Of Participants:

17

Sponsors Telephone Number:

7183313122

File:

History

Start date	End date	Type	Value
1999-12-07	2006-01-11	Address	261 SCHENCK AVE, GREAT NECK, NY, 11021, USA (Type of address: Service of Process)
1997-11-24	1999-12-07	Address	261 SCHENCK AVE., GREAT NECK, NY, 11021, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
191107060452	2019-11-07	BIENNIAL STATEMENT	2019-11-01
171102006983	2017-11-02	BIENNIAL STATEMENT	2017-11-01
151112006218	2015-11-12	BIENNIAL STATEMENT	2015-11-01
131126006050	2013-11-26	BIENNIAL STATEMENT	2013-11-01
111206003238	2011-12-06	BIENNIAL STATEMENT	2011-11-01

USAspending Awards / Financial Assistance

Date:

2021-02-09

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.

Obligated Amount:

0.00

Face Value Of Loan:

76843.00

Total Face Value Of Loan:

76843.00

Paycheck Protection Program

Jobs Reported:

8

Initial Approval Amount:

$76,500

Date Approved:

2020-04-29

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$76,500

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$77,048.25

Servicing Lender:

Capital One, National Association

Use of Proceeds:

Payroll: $76,500

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State