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SYRACUSE NEUROLOGY, PLLC

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Company Details

Name: SYRACUSE NEUROLOGY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Jun 1999 (26 years ago)
Entity Number: 2386998
ZIP code: 13204
County: Onondaga
Place of Formation: New York
Address: 100 INTREPID LANE, SUITE #5, SYRACUSE, NY, United States, 13204

DOS Process Agent

Name Role Address
KUMAR BHAGAVATULA DOS Process Agent 100 INTREPID LANE, SUITE #5, SYRACUSE, NY, United States, 13204

National Provider Identifier

NPI Number:
1770683666

Authorized Person:

Name:
KUMAR BHAGAVATULA
Role:
PHYSICIAN/ OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
3154728060
Fax:
3154925431

Form 5500 Series

Employer Identification Number (EIN):
161569239
Plan Year:
2011
Number Of Participants:
2
Sponsors Telephone Number:

History

Start date End date Type Value
2011-07-19 2013-07-02 Address SUITE 3D CGH POB BROAD RD`, SYRACUSE, NY, 13215, USA (Type of address: Service of Process)
2007-06-28 2011-07-19 Address PHYSICIAN OFFICE BLDG / STE 3J, BROAD ROAD, SYRACUSE, NY, 13215, USA (Type of address: Service of Process)
2003-06-26 2007-06-28 Address PHYSICIAN OFFICE BLDG, 4870 BROAD RD / SUITE 3A, SYRACUSE, NY, 13215, USA (Type of address: Service of Process)
1999-06-09 2003-06-26 Address PHYSICIAN'S OFFICE BUILDING ., 4900 BROAD ROAD SUITE 3J-NO., SYRACUSE, NY, 13205, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130702002284 2013-07-02 BIENNIAL STATEMENT 2013-06-01
110719002412 2011-07-19 BIENNIAL STATEMENT 2011-06-01
090629002309 2009-06-29 BIENNIAL STATEMENT 2009-06-01
070628002178 2007-06-28 BIENNIAL STATEMENT 2007-06-01
050701002451 2005-07-01 BIENNIAL STATEMENT 2005-06-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State