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ORIGIN PAIN MANAGEMENT AND MEDICAL CARE, PLLC

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Company Details

Name: ORIGIN PAIN MANAGEMENT AND MEDICAL CARE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 22 Oct 2007 (18 years ago)
Entity Number: 3583470
ZIP code: 11209
County: Kings
Place of Formation: New York
Address: 329 83RD ST, BROOKLYN, NY, United States, 11209

DOS Process Agent

Name Role Address
ORIGIN PAIN MANAGEMENT AND MEDICAL CARE, PLLC DOS Process Agent 329 83RD ST, BROOKLYN, NY, United States, 11209

National Provider Identifier

NPI Number:
1871771402

Authorized Person:

Name:
DR. GETAHUN KIFLE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Fax:
7184621900

History

Start date End date Type Value
2007-10-22 2020-02-10 Address 110 LEAHY ST, JERICHO, NY, 11753, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200210060409 2020-02-10 BIENNIAL STATEMENT 2019-10-01
151006006356 2015-10-06 BIENNIAL STATEMENT 2015-10-01
140310006004 2014-03-10 BIENNIAL STATEMENT 2013-10-01
111017002266 2011-10-17 BIENNIAL STATEMENT 2011-10-01
091015002493 2009-10-15 BIENNIAL STATEMENT 2009-10-01

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State