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CITY SPINE AND REHAB MEDICINE, P.C.

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Company Details

Name: CITY SPINE AND REHAB MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Feb 2019 (6 years ago)
Entity Number: 5496893
ZIP code: 07457
County: New York
Place of Formation: New York
Address: 44 ROUTE 23 NORTH, STE. 15, RIVERDALE, NJ, United States, 07457

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 44 ROUTE 23 NORTH, STE. 15, RIVERDALE, NJ, United States, 07457

National Provider Identifier

NPI Number:
1881253052

Authorized Person:

Name:
KATHY IODICE
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
190219001087 2019-02-19 CERTIFICATE OF INCORPORATION 2019-02-19

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State