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MANDEL-WILENTZ DERMATOLOGY PLLC

Company Details

Name: MANDEL-WILENTZ DERMATOLOGY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Apr 2012 (13 years ago)
Entity Number: 4229999
ZIP code: 11946
County: Nassau
Place of Formation: New York
Address: 19 Lighthouse Road, Hampton Bays, NY, United States, 11946

DOS Process Agent

Name Role Address
MANDEL-WILENTZ DERMATOLOGY PLLC DOS Process Agent 19 Lighthouse Road, Hampton Bays, NY, United States, 11946

National Provider Identifier

NPI Number:
1821359670
Certification Date:
2023-12-16

Authorized Person:

Name:
DR. MITCHELL J MANDEL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
No
Selected Taxonomy:
207ND0900X - Dermatopathology Physician
Is Primary:
No
Selected Taxonomy:
207NP0225X - Pediatric Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207NS0135X - Procedural Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2012-04-12 2022-05-08 Address 1 POLO DRIVE, OLD WESTBURY, NY, 11568, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220508000490 2021-11-03 CERTIFICATE OF PUBLICATION 2021-11-03
210714003280 2021-07-14 BIENNIAL STATEMENT 2021-07-14
141219006570 2014-12-19 BIENNIAL STATEMENT 2014-04-01
120412000154 2012-04-12 ARTICLES OF ORGANIZATION 2012-04-12

USAspending Awards / Financial Assistance

Date:
2020-06-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-06-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00

Date of last update: 26 Mar 2025

Sources: New York Secretary of State