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SPINE SPORTS & INTERVENTIONAL PAIN MEDICINE, P.C.

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Company Details

Name: SPINE SPORTS & INTERVENTIONAL PAIN MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Sep 2009 (16 years ago)
Entity Number: 3852513
ZIP code: 11553
County: Nassau
Place of Formation: New York
Address: 50 CHARLES LINDBERGH BLVD., SUITE 103, UNIONDALE, NY, United States, 11553
Principal Address: 1 SHERIDAN ROAD, SCARSDALE, NY, United States, 10583

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
SANJEEV AGARWAL Chief Executive Officer 1 SHERIDAN ROAD, SCARSDALE, NY, United States, 10583

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 50 CHARLES LINDBERGH BLVD., SUITE 103, UNIONDALE, NY, United States, 11553

National Provider Identifier

NPI Number:
1043626435

Authorized Person:

Name:
DR. SANJEEV AGARWAL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
305S00000X - Point of Service
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
7184894101

History

Start date End date Type Value
2025-06-28 2025-06-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-02-28 2025-06-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-09-13 2025-02-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-05-07 2024-09-13 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-04-21 2024-05-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240421000108 2024-04-21 BIENNIAL STATEMENT 2024-04-21
190128000225 2019-01-28 CERTIFICATE OF CHANGE 2019-01-28
140922000221 2014-09-22 CERTIFICATE OF CHANGE 2014-09-22
130909007013 2013-09-09 BIENNIAL STATEMENT 2013-09-01
111118000503 2011-11-18 CERTIFICATE OF AMENDMENT 2011-11-18

Paycheck Protection Program

Jobs Reported:
16
Initial Approval Amount:
$58,400
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$58,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$59,057.6
Servicing Lender:
Peoples Bank and Trust Company
Use of Proceeds:
Payroll: $58,400

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State