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LEO VIGNE, M.D., P.C.

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Company Details

Name: LEO VIGNE, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Sep 2008 (17 years ago)
Entity Number: 3719652
ZIP code: 10019
County: New York
Place of Formation: New York
Address: 330 WEST 58 ST. SUITE 306, NEW YORK, NY, United States, 10019

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
LANCE ROGER SPODEK, P.C. DOS Process Agent 330 WEST 58 ST. SUITE 306, NEW YORK, NY, United States, 10019

National Provider Identifier

NPI Number:
1497237036
Certification Date:
2024-01-04

Authorized Person:

Name:
DR. LEO GARY BONILLA JR.
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
080912000159 2008-09-12 CERTIFICATE OF INCORPORATION 2008-09-12

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State