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RIVERSIDE SPINE AND PAIN MEDICINE, P.C.

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Company Details

Name: RIVERSIDE SPINE AND PAIN MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Feb 2013 (12 years ago)
Entity Number: 4367147
ZIP code: 10003
County: New York
Place of Formation: New York
Address: 24 EAST 12TH STREET, STE. 203, NEW YORK, NY, United States, 10003

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 24 EAST 12TH STREET, STE. 203, NEW YORK, NY, United States, 10003

National Provider Identifier

NPI Number:
1417394420
Certification Date:
2023-01-24

Authorized Person:

Name:
MS. KATHY IODICE
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
130228000768 2013-02-28 CERTIFICATE OF INCORPORATION 2013-02-28

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State