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ROCHESTER DERMATOLOGIC SURGERY, P.C.

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Company Details

Name: ROCHESTER DERMATOLOGIC SURGERY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Apr 2019 (6 years ago)
Entity Number: 5536322
ZIP code: 14564
County: Ontario
Place of Formation: New York
Address: 7400 Pittsford Victor Road, Victor, NY, United States, 14564

Contact Details

Phone +1 585-222-1400

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
ROCHESTER DERMATOLOGIC SURGERY, P.C. DOS Process Agent 7400 Pittsford Victor Road, Victor, NY, United States, 14564

Chief Executive Officer

Name Role Address
SHERRIF IBRAHIM Chief Executive Officer 7400 PITTSFORD VICTOR ROAD, VICTOR, NY, United States, 14564

National Provider Identifier

NPI Number:
1770149080

Authorized Person:

Name:
SHERRIF F IBRAHIM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5852221414

Form 5500 Series

Employer Identification Number (EIN):
834569594
Plan Year:
2023
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
0
Sponsors Telephone Number:

History

Start date End date Type Value
2019-04-18 2019-09-10 Address 230 ALPINE DRIVE, ROCHESTER, NY, 14618, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220624001717 2022-06-24 BIENNIAL STATEMENT 2021-04-01
190910000204 2019-09-10 CERTIFICATE OF CHANGE 2019-09-10
190418000120 2019-04-18 CERTIFICATE OF INCORPORATION 2019-04-18

USAspending Awards / Financial Assistance

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:
168882.00
Total Face Value Of Loan:
161194.00

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$168,882
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$161,194
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$162,267.15
Servicing Lender:
Manufacturers and Traders Trust Company
Use of Proceeds:
Payroll: $127,900
Rent: $33,294

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State