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  5. PENROSE DERMATOLOGY PLLC

PENROSE DERMATOLOGY PLLC

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Company Details

Name: PENROSE DERMATOLOGY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Aug 2015 (10 years ago)
Entity Number: 4801401
ZIP code: 10304
County: Richmond
Place of Formation: New York
Address: 49 WARD AVENUE, STATEN ISLAND, NY, United States, 10304

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 49 WARD AVENUE, STATEN ISLAND, NY, United States, 10304

National Provider Identifier

NPI Number:
1346601333
Link:
View on NPI website

Authorized Person:

Name:
DR. CAROLIN PENROSE
Role:
DERMATOLOGIST
Phone:
9176204421

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 917-830-1415
Fax:
9178301418

Form 5500 Series

Employer Identification Number (EIN):
474914953
Plan Year:
2023
Number Of Participants:
6
Sponsors Telephone Number:
9178301415
File:
View File
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
9178301415
File:
View File
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
9178301415
File:
View File
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
9178301415
File:
View File
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:
9178301415
File:
View File

Filings

Filing Number Date Filed Type Effective Date
151203000735 2015-12-03 CERTIFICATE OF PUBLICATION 2015-12-03
150807000165 2015-08-07 ARTICLES OF ORGANIZATION 2015-08-07

USAspending Awards / Financial Assistance

Date:
2020-05-25
Link:
View on USAspending
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:
2020-04-16
Link:
View on USAspending
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:
21062.00
Total Face Value Of Loan:
21062.00
Date:
2020-04-16
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
7000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
21062
Current Approval Amount:
21062
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
21241.03

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State

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