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LONG ISLAND MEDICAL & COSMETIC DERMATOLOGY, P.C.

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Company Details

Name: LONG ISLAND MEDICAL & COSMETIC DERMATOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 26 Oct 2004 (21 years ago)
Entity Number: 3118078
ZIP code: 11743
County: Nassau
Place of Formation: New York
Address: 755 PARK AVENUE - SUITE 500, HUNTINGTON, NY, United States, 11743

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 755 PARK AVENUE - SUITE 500, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1922017797
Certification Date:
2024-08-15

Authorized Person:

Name:
DR. DANIEL WARREN SHERER
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
6312711730

Form 5500 Series

Employer Identification Number (EIN):
331102855
Plan Year:
2024
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
0
Sponsors Telephone Number:

History

Start date End date Type Value
2004-10-26 2012-05-21 Address SUITE 22A, 400 EAST 84TH STREET, NEW YORK, NY, 10028, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
120521000836 2012-05-21 CERTIFICATE OF CHANGE 2012-05-21
041026000145 2004-10-26 CERTIFICATE OF INCORPORATION 2004-10-26

Paycheck Protection Program

Jobs Reported:
22
Initial Approval Amount:
$215,000
Date Approved:
2021-02-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$215,000
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$216,931.42
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $215,000

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State