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SYRACUSE PLASTIC SURGERY PLLC

Company Details

Name: SYRACUSE PLASTIC SURGERY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 18 Nov 2019 (6 years ago)
Entity Number: 5657865
ZIP code: 13066
County: Onondaga
Place of Formation: New York
Address: 6810 HOLLISTON CIRCLE, FAYETTEVILLE, NY, United States, 13066

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 6810 HOLLISTON CIRCLE, FAYETTEVILLE, NY, United States, 13066

National Provider Identifier

NPI Number:
1134757891
Certification Date:
2024-08-15

Authorized Person:

Name:
DR. DEAN DEROBERTS
Role:
MD/ OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
3152995661

Form 5500 Series

Employer Identification Number (EIN):
843713796
Plan Year:
2023
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
17
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
200316000784 2020-03-16 CERTIFICATE OF PUBLICATION 2020-03-16
191118000601 2019-11-18 ARTICLES OF ORGANIZATION 2019-11-18

Date of last update: 23 Mar 2025

Sources: New York Secretary of State