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NEW YORK SPINE & SPORT REHABILITATION MEDICINE, P.C.

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Company Details

Name: NEW YORK SPINE & SPORT REHABILITATION MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 14 Mar 2001 (24 years ago)
Entity Number: 2615899
ZIP code: 10461
County: Bronx
Place of Formation: New York
Address: 2008 EASTCHESTER RD, 2ND LEVEL STE A, BRONX, NY, United States, 10461
Principal Address: 2008 EASTCHESTER RD, 2ND LEVEL STE A, BRONX, NY, United States, 10461

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2008 EASTCHESTER RD, 2ND LEVEL STE A, BRONX, NY, United States, 10461

Chief Executive Officer

Name Role Address
SIREEN M. GOPAL, MD Chief Executive Officer 2008 EASTCHESTER RD, 2ND LEVEL STE A, BRONX, NY, United States, 10461

National Provider Identifier

NPI Number:
1942423579
Certification Date:
2025-05-01

Authorized Person:

Name:
SIREEN M GOPAL
Role:
OWER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
7186845728

History

Start date End date Type Value
2023-12-29 2024-07-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-11-03 2023-12-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-04-14 2023-11-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2021-07-07 2023-04-14 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2007-03-21 2018-05-18 Address 373 ROUTE 111, SMITHTOWN, NY, 11787, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180518002036 2018-05-18 BIENNIAL STATEMENT 2017-03-01
090311002450 2009-03-11 BIENNIAL STATEMENT 2009-03-01
070321002446 2007-03-21 BIENNIAL STATEMENT 2007-03-01
050421002580 2005-04-21 BIENNIAL STATEMENT 2005-03-01
030318002048 2003-03-18 BIENNIAL STATEMENT 2003-03-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State