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ITHACA DERMATOLOGY, PLLC

Company Details

Name: ITHACA DERMATOLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 13 Aug 2007 (18 years ago)
Entity Number: 3555133
ZIP code: 14850
County: Tompkins
Place of Formation: New York
Address: 821 CLIFF ST, ITHACA, NY, United States, 14850

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 821 CLIFF ST, ITHACA, NY, United States, 14850

National Provider Identifier

NPI Number:
1790979417

Authorized Person:

Name:
DR. KIMBERLY SILVERS
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6072773888
Fax:
6072560049

Form 5500 Series

Employer Identification Number (EIN):
260726161
Plan Year:
2014
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
4
Sponsors Telephone Number:

History

Start date End date Type Value
2007-08-13 2009-08-19 Address 919 ELMIRA ROAD, ITHACA, NY, 14850, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
150805006106 2015-08-05 BIENNIAL STATEMENT 2015-08-01
130912006183 2013-09-12 BIENNIAL STATEMENT 2013-08-01
110916002382 2011-09-16 BIENNIAL STATEMENT 2011-08-01
090819002291 2009-08-19 BIENNIAL STATEMENT 2009-08-01
071128000330 2007-11-28 CERTIFICATE OF PUBLICATION 2007-11-28

Date of last update: 28 Mar 2025

Sources: New York Secretary of State