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MK SPINE AND JOINT REHAB, P.C.

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Company Details

Name: MK SPINE AND JOINT REHAB, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Sep 2018 (7 years ago)
Entity Number: 5403612
ZIP code: 11746
County: Suffolk
Place of Formation: New York
Address: 27 VANDERBILT PARKWAY, DIX HILLS, NY, United States, 11746

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 27 VANDERBILT PARKWAY, DIX HILLS, NY, United States, 11746

National Provider Identifier

NPI Number:
1699239715
Certification Date:
2023-01-20

Authorized Person:

Name:
MATTHEW HOWARD KALTER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP3300X - Pain Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6319401557

Filings

Filing Number Date Filed Type Effective Date
180904000274 2018-09-04 CERTIFICATE OF INCORPORATION 2018-09-04

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State