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PAIN MANAGEMENT OF STONY BROOK, P.C.

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Company Details

Name: PAIN MANAGEMENT OF STONY BROOK, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Apr 2015 (10 years ago)
Entity Number: 4743618
ZIP code: 11790
County: Suffolk
Place of Formation: New York
Address: 2500 NESCONSET HIGHWAY, BUILDING 24C, STONY BROOK, NY, United States, 11790

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2500 NESCONSET HIGHWAY, BUILDING 24C, STONY BROOK, NY, United States, 11790

National Provider Identifier

NPI Number:
1720467681

Authorized Person:

Name:
VERONICA HATZICHRISTOS
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
6316385028

Filings

Filing Number Date Filed Type Effective Date
150417000125 2015-04-17 CERTIFICATE OF INCORPORATION 2015-04-17

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State