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DEROBERTS PLASTIC SURGERY, PLLC

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Company Details

Name: DEROBERTS PLASTIC SURGERY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Aug 2010 (15 years ago)
Entity Number: 3981603
ZIP code: 13215
County: New York
Place of Formation: New York
Address: 4900 BROAD ROAD, SUITE 2G, SYRACUSE, NY, United States, 13215

DOS Process Agent

Name Role Address
DEROBERTS PLASTIC SURGERY, PLLC DOS Process Agent 4900 BROAD ROAD, SUITE 2G, SYRACUSE, NY, United States, 13215

National Provider Identifier

NPI Number:
1740588607

Authorized Person:

Name:
DR. DEAN DEROBERTS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208200000X - Plastic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
3152952126
Fax:
3152995661

Form 5500 Series

Employer Identification Number (EIN):
273201241
Plan Year:
2020
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
8
Sponsors Telephone Number:

History

Start date End date Type Value
2010-08-05 2014-08-14 Address 300 BRATTLE ROAD, SYRACUSE, NY, 13203, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180806006276 2018-08-06 BIENNIAL STATEMENT 2018-08-01
140814006049 2014-08-14 BIENNIAL STATEMENT 2014-08-01
121115002132 2012-11-15 BIENNIAL STATEMENT 2012-08-01
101130000452 2010-11-30 CERTIFICATE OF PUBLICATION 2010-11-30
100805000733 2010-08-05 ARTICLES OF ORGANIZATION 2010-08-05

USAspending Awards / Financial Assistance

Date:
2020-04-13
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:
-92900.00
Total Face Value Of Loan:
181800.00

Paycheck Protection Program

Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
274700
Current Approval Amount:
181800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
183365.5

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State