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ISLAND PAIN SPECIALIST P.C.

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Company Details

Name: ISLAND PAIN SPECIALIST P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Mar 2008 (17 years ago)
Entity Number: 3640135
ZIP code: 11735
County: Nassau
Place of Formation: New York
Address: 340 BROAD HOLLOW RD, FARMINGDALE, NY, United States, 11735

Contact Details

Phone +1 516-336-8659

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
HASIB MIKAEL SARIJ Chief Executive Officer 340 BROAD HOLLOW RD, FARMINGDALE, NY, United States, 11735

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 340 BROAD HOLLOW RD, FARMINGDALE, NY, United States, 11735

National Provider Identifier

NPI Number:
1972774529

Authorized Person:

Name:
HASIB MIKAEL SARIJ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5165840055

Form 5500 Series

Employer Identification Number (EIN):
262117664
Plan Year:
2023
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
17
Sponsors Telephone Number:

History

Start date End date Type Value
2014-10-06 2015-01-12 Name INTEGRATED SPINE AND PAIN CARE P.C.
2010-09-23 2012-05-11 Address 36 JEANE LN, BETHPAGE, NY, 11714, USA (Type of address: Chief Executive Officer)
2010-09-23 2012-05-11 Address 340 BROAD HOLLOW RD, FAMRINGDALE, NY, 11735, USA (Type of address: Principal Executive Office)
2010-09-23 2012-05-11 Address 36 JEAN LN, BETHPAGE, NY, 11714, USA (Type of address: Service of Process)
2008-03-05 2014-10-06 Name ISLAND PAIN SPECIALIST P.C.

Filings

Filing Number Date Filed Type Effective Date
150112000311 2015-01-12 CERTIFICATE OF AMENDMENT 2015-01-12
141006000336 2014-10-06 CERTIFICATE OF AMENDMENT 2014-10-06
140527002119 2014-05-27 BIENNIAL STATEMENT 2014-03-01
120511002489 2012-05-11 BIENNIAL STATEMENT 2012-03-01
100923002882 2010-09-23 BIENNIAL STATEMENT 2010-03-01

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State