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DERMATOLOGY & MOHS SURGERY OF LONG ISLAND, PLLC

Company Details

Name: DERMATOLOGY & MOHS SURGERY OF LONG ISLAND, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 04 Feb 2020 (5 years ago)
Entity Number: 5701513
ZIP code: 10025
County: Nassau
Place of Formation: New York
Address: 82 WEST 105TH ST., SUITE 3D, NEW YORK, NY, United States, 10025

DOS Process Agent

Name Role Address
DERMATOLOGY & MOHS SURGERY OF LONG ISLAND, PLLC DOS Process Agent 82 WEST 105TH ST., SUITE 3D, NEW YORK, NY, United States, 10025

National Provider Identifier

NPI Number:
1629736509
Certification Date:
2022-10-03

Authorized Person:

Name:
DR. JOSHUA FARHADIAN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5168463305
Fax:
8883516291

History

Start date End date Type Value
2020-02-04 2024-02-01 Address 215 EAST 58TH STREET, 4TH FL, NEW YORK, NY, 10022, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240201038265 2024-02-01 BIENNIAL STATEMENT 2024-02-01
220310002612 2022-03-10 BIENNIAL STATEMENT 2022-02-01
201210000096 2020-12-10 CERTIFICATE OF PUBLICATION 2020-12-10
200204000107 2020-02-04 ARTICLES OF ORGANIZATION 2020-02-04

Date of last update: 23 Mar 2025

Sources: New York Secretary of State