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DERMATOLOGY & PLASTIC SURGERY OF NORTHERN NEW YORK, P.C.

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Company Details

Name: DERMATOLOGY & PLASTIC SURGERY OF NORTHERN NEW YORK, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 23 Nov 1998 (27 years ago)
Date of dissolution: 29 Jul 2013
Entity Number: 2318147
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Principal Address: 826 WASHINGTON ST, STE 104, WATERTOWN, NY, United States, 13601
Address: 23481 FRALICK ROAD, WATERTOWN, NY, United States, 13601

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 23481 FRALICK ROAD, WATERTOWN, NY, United States, 13601

Chief Executive Officer

Name Role Address
BARBARA LICZNERSKI Chief Executive Officer 826 WASHINGTON ST, STE 104, WATERTOWN, NY, United States, 13601

National Provider Identifier

NPI Number:
1598852329

Authorized Person:

Name:
DR. BARBARA LICZNERSKI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
130729000943 2013-07-29 CERTIFICATE OF DISSOLUTION 2013-07-29
081028002803 2008-10-28 BIENNIAL STATEMENT 2008-11-01
061025002178 2006-10-25 BIENNIAL STATEMENT 2006-11-01
041217002728 2004-12-17 BIENNIAL STATEMENT 2004-11-01
021022003103 2002-10-22 BIENNIAL STATEMENT 2002-11-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State