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ADVANCED DERMATOLOGY LASER AND COSMETIC SURGERY P.C.

ADVANCED DERMATOLOGY LASER AND COSMETIC SURGERY P.C.

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Company Details

Name:	ADVANCED DERMATOLOGY LASER AND COSMETIC SURGERY P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	01 Jun 2004 (21 years ago)
Entity Number:	3060528
ZIP code:	11235
County:	Kings
Place of Formation:	New York
Address:	35 WEST END AVE STE. 2, PROFESSIONAL SUITE 2, BROOKLYN, NY, United States, 11235
Principal Address:	35 WEST END AVE, PROFESSIONAL SUITE 2, BROOKLYN, NY, United States, 11235

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
EYAL LEVIT	Chief Executive Officer	35 WEST END AVE., PROFESSIONAL SUITE 2, BROOKLYN, NY, United States, 11235

DOS Process Agent

Name	Role	Address
ADVANCED DERMATOLOGY LASER AND COSMETIC SURGERY P.C.	DOS Process Agent	35 WEST END AVE STE. 2, PROFESSIONAL SUITE 2, BROOKLYN, NY, United States, 11235

National Provider Identifier

NPI Number:

1811032196

Link:

View on NPI website

Authorized Person:

Name:

EYAL K LEVIT

Role:

MEDICAL DIRECTOR

Phone:

7183757546

Taxonomy:

Selected Taxonomy:

207ND0101X - MOHS-Micrographic Surgery Physician

Is Primary:

No

Selected Taxonomy:

207ND0900X - Dermatopathology Physician

Is Primary:

No

Selected Taxonomy:

207NI0002X - Clinical & Laboratory Dermatological Immunology Physician

Is Primary:

No

Selected Taxonomy:

207NP0225X - Pediatric Dermatology Physician

Is Primary:

No

Selected Taxonomy:

207NS0135X - Procedural Dermatology Physician

Is Primary:

No

Contacts:

Phone:

+1 718-375-7546

Fax:

7183766475

Form 5500 Series

Employer Identification Number (EIN):

201193081

Plan Year:

2023

Number Of Participants:

30

Sponsors Telephone Number:

7184494876

File:

Plan Year:

2022

Number Of Participants:

30

Sponsors Telephone Number:

7184494876

File:

Plan Year:

2021

Number Of Participants:

43

Sponsors Telephone Number:

7184494876

File:

Plan Year:

2020

Number Of Participants:

38

Sponsors Telephone Number:

7184494876

File:

Plan Year:

2019

Number Of Participants:

35

Sponsors Telephone Number:

7184494876

File:

History

Start date	End date	Type	Value
2017-05-30	2018-06-01	Address	35-37 WEST END AVE STE. 2, BROOKLYN, NY, 11235, USA (Type of address: Service of Process)
2017-04-04	2018-06-01	Address	35-37 WEST END AVE, STE 2, BROOKLYN, NY, 11235, USA (Type of address: Principal Executive Office)
2017-04-04	2018-06-01	Address	35-37 WEST END AVE., STE 2, BROOKLYN, NY, 11235, USA (Type of address: Chief Executive Officer)
2016-06-02	2017-04-04	Address	1220 AVENUE P, 5TH FL, BROOKLYN, NY, 11229, USA (Type of address: Principal Executive Office)
2016-06-02	2017-05-30	Address	1220 AVENUE P, 5 FL, BROOKLYN, NY, 11229, USA (Type of address: Service of Process)

Filings

Filing Number	Date Filed	Type	Effective Date
200602060830	2020-06-02	BIENNIAL STATEMENT	2020-06-01
180601007456	2018-06-01	BIENNIAL STATEMENT	2018-06-01
170530000689	2017-05-30	CERTIFICATE OF CHANGE	2017-05-30
170404002008	2017-04-04	AMENDMENT TO BIENNIAL STATEMENT	2016-06-01
160602006741	2016-06-02	BIENNIAL STATEMENT	2016-06-01

Paycheck Protection Program

Jobs Reported:

34

Initial Approval Amount:

$288,897

Date Approved:

2021-04-26

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$288,897

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$292,229.21

Servicing Lender:

Customers Bank

Use of Proceeds:

Payroll: $288,897

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State