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NY SPINE AND REHAB MEDICINE, P.C.

NY SPINE AND REHAB MEDICINE, P.C.

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Company Details

Name:	NY SPINE AND REHAB MEDICINE, P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	25 Jul 2012 (13 years ago)
Entity Number:	4275527
ZIP code:	07508
County:	New York
Place of Formation:	New York
Address:	31 BRIARWOOD WAY, NORTH HALEDON, NJ, United States, 07508

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
THE CORPORATION	DOS Process Agent	31 BRIARWOOD WAY, NORTH HALEDON, NJ, United States, 07508

National Provider Identifier

NPI Number:

1417371972

Link:

View on NPI website

Authorized Person:

Name:

MS. KATHY IODICE

Role:

PRACTICE MANAGER

Phone:

9734001716

Taxonomy:

Selected Taxonomy:

207LH0002X - Hospice and Palliative Medicine (Anesthesiology) Physician

Is Primary:

No

Selected Taxonomy:

2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician

Is Primary:

No

Selected Taxonomy:

2084N0400X - Neurology Physician

Is Primary:

No

Selected Taxonomy:

208VP0014X - Interventional Pain Medicine Physician

Is Primary:

No

Selected Taxonomy:

207L00000X - Anesthesiology Physician

Is Primary:

No

Contacts:

Phone:

+1 973-400-1716

Fax:

9734001631

Form 5500 Series

Employer Identification Number (EIN):

460662062

Plan Year:

2023

Number Of Participants:

13

Sponsors Telephone Number:

9734001716

File:

Plan Year:

2022

Number Of Participants:

14

Sponsors Telephone Number:

9734001716

File:

Plan Year:

2021

Number Of Participants:

14

Sponsors Telephone Number:

9734001716

File:

Plan Year:

2020

Number Of Participants:

17

Sponsors Telephone Number:

2124889600

File:

Plan Year:

2019

Number Of Participants:

19

Sponsors Telephone Number:

2124889600

File:

Filings

Filing Number	Date Filed	Type	Effective Date
120725000939	2012-07-25	CERTIFICATE OF INCORPORATION	2012-07-25

Paycheck Protection Program

Jobs Reported:

17

Initial Approval Amount:

$199,195

Date Approved:

2021-01-31

Loan Status:

Exemption 4

SBA Guaranty Percentage:

100

Current Approval Amount:

$199,195

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$180,053

Servicing Lender:

PNC Bank, National Association

Use of Proceeds:

Payroll: $199,189
Utilities: $1

Jobs Reported:

12

Initial Approval Amount:

$195,800

Date Approved:

2020-04-16

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$195,800

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$198,405.23

Servicing Lender:

PNC Bank, National Association

Use of Proceeds:

Payroll: $195,800

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State