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FINGER LAKES DERMATOLOGY PLLC

Company Details

Name: FINGER LAKES DERMATOLOGY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 May 2019 (6 years ago)
Entity Number: 5552939
ZIP code: 14881
County: Tompkins
Place of Formation: New York
Address: 276 MIDLINE ROAD, SLATERVILLE SPRINGS, NY, United States, 14881

DOS Process Agent

Name Role Address
BRAD YENTZER DOS Process Agent 276 MIDLINE ROAD, SLATERVILLE SPRINGS, NY, United States, 14881

National Provider Identifier

NPI Number:
1508402710
Certification Date:
2022-04-13

Authorized Person:

Name:
DR. BRAD YENTZER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
6077084242

Form 5500 Series

Employer Identification Number (EIN):
842530511
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
1
Sponsors Telephone Number:

History

Start date End date Type Value
2019-09-04 2025-01-08 Address 276 MIDLINE ROAD, SLATERVILLE SPRINGS, NY, 14881, USA (Type of address: Service of Process)
2019-05-15 2019-09-04 Address 57 STARK ROAD, NEWFIELD, NY, 14867, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250108001891 2025-01-08 BIENNIAL STATEMENT 2025-01-08
200323000991 2020-03-23 CERTIFICATE OF PUBLICATION 2020-03-23
190904000611 2019-09-04 CERTIFICATE OF CHANGE 2019-09-04
190515000258 2019-05-15 ARTICLES OF ORGANIZATION 2019-05-15

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
90900.00
Total Face Value Of Loan:
90900.00

Paycheck Protection Program

Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
90900
Current Approval Amount:
90900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
91344.4

Date of last update: 23 Mar 2025

Sources: New York Secretary of State