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MARIWALLA DERMATOLOGY, PLLC

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Company Details

Name: MARIWALLA DERMATOLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Jun 2009 (16 years ago)
Entity Number: 3826204
ZIP code: 11795
County: Suffolk
Place of Formation: New York
Address: 1175 MONTAUK HIGHWAY STE 4, WEST ISLIP, NY, United States, 11795

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1175 MONTAUK HIGHWAY STE 4, WEST ISLIP, NY, United States, 11795

National Provider Identifier

NPI Number:
1891094322

Authorized Person:

Name:
DR. KAVITA MARIWALLA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6319693376

History

Start date End date Type Value
2009-06-24 2023-05-24 Address 1175 MONTAUK HIGHWAY STE 4, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230524002747 2023-05-24 BIENNIAL STATEMENT 2021-06-01
111004002063 2011-10-04 BIENNIAL STATEMENT 2011-06-01
090825000271 2009-08-25 CERTIFICATE OF PUBLICATION 2009-08-25
090624000612 2009-06-24 ARTICLES OF ORGANIZATION 2009-06-24

USAspending Awards / Financial Assistance

Date:
2020-06-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
205400.00
Total Face Value Of Loan:
205400.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
205400
Current Approval Amount:
205400
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
208326.25

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State