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KERIS DERMATOLOGY, PLLC

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Company Details

Name: KERIS DERMATOLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Aug 2006 (19 years ago)
Entity Number: 3398168
ZIP code: 10010
County: New York
Place of Formation: New York
Address: 166 FIFTH AVE, 2ND FLR, NEW YORK, NY, United States, 10010

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 166 FIFTH AVE, 2ND FLR, NEW YORK, NY, United States, 10010

National Provider Identifier

NPI Number:
1033268693

Authorized Person:

Name:
DR. SUMAYAH JAMAL
Role:
GEN.PTR
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
6462184133

Form 5500 Series

Employer Identification Number (EIN):
205461426
Plan Year:
2018
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
6
Sponsors Telephone Number:

History

Start date End date Type Value
2006-08-08 2008-08-13 Address 24 GRAMERCY PARK SOUTH #3W, NEW YORK, NY, 10003, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140904006360 2014-09-04 BIENNIAL STATEMENT 2014-08-01
120917002177 2012-09-17 BIENNIAL STATEMENT 2012-08-01
100812002931 2010-08-12 BIENNIAL STATEMENT 2010-08-01
080813002417 2008-08-13 BIENNIAL STATEMENT 2008-08-01
061114000139 2006-11-14 CERTIFICATE OF PUBLICATION 2006-11-14

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State