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INTEGRATED MUSCULOSKELETAL & SPINE GROUP, PLLC

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Company Details

Name: INTEGRATED MUSCULOSKELETAL & SPINE GROUP, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Apr 2019 (6 years ago)
Entity Number: 5528350
ZIP code: 11520
County: Nassau
Place of Formation: New York
Address: 73 GUY LOMBARDO AVENUE, FREEPORT, NY, United States, 11520

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 73 GUY LOMBARDO AVENUE, FREEPORT, NY, United States, 11520

National Provider Identifier

NPI Number:
1083260806
Certification Date:
2021-02-22

Authorized Person:

Name:
JUAN LEDON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
5163773844

History

Start date End date Type Value
2019-04-05 2025-05-27 Address 73 GUY LOMBARDO AVENUE, FREEPORT, NY, 11520, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250527003363 2025-05-27 BIENNIAL STATEMENT 2025-05-27
201230000130 2020-12-30 CERTIFICATE OF AMENDMENT 2020-12-30
190627000371 2019-06-27 CERTIFICATE OF PUBLICATION 2019-06-27
190405000015 2019-04-05 ARTICLES OF ORGANIZATION 2019-04-05

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State