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CNY PAIN MANAGEMENT MEDICAL SUITE, P.C.

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Company Details

Name: CNY PAIN MANAGEMENT MEDICAL SUITE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Apr 2007 (18 years ago)
Entity Number: 3503161
ZIP code: 13069
County: Oswego
Place of Formation: New York
Address: 59 SOUTH FIRST STREET, FULTON, NY, United States, 13069
Principal Address: 59 S FIRST STREET, FULTON, NY, United States, 13069

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MANESH R KUTHUNI Chief Executive Officer 59 S FIRST STREET, FULTON, NY, United States, 13069

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 59 SOUTH FIRST STREET, FULTON, NY, United States, 13069

National Provider Identifier

NPI Number:
1962614065

Authorized Person:

Name:
MAHESH REDDY KUTHURU
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
3155931495

Filings

Filing Number Date Filed Type Effective Date
110421002572 2011-04-21 BIENNIAL STATEMENT 2011-04-01
090417002133 2009-04-17 BIENNIAL STATEMENT 2009-04-01
070413000656 2007-04-13 CERTIFICATE OF INCORPORATION 2007-04-13

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State