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BRAINER MEDICAL P.C.

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Company Details

Name: BRAINER MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Jan 2020 (6 years ago)
Entity Number: 5690604
ZIP code: 11743
County: Suffolk
Place of Formation: New York
Address: 75 PROSPECT STREET, SUITE 111, HUNTINGTON, NY, United States, 11743

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 75 PROSPECT STREET, SUITE 111, HUNTINGTON, NY, United States, 11743

National Provider Identifier

NPI Number:
1578143657
Certification Date:
2021-04-12

Authorized Person:

Name:
ALEKSANDRA KRUNIC
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
200826000532 2020-08-26 CERTIFICATE OF AMENDMENT 2020-08-26
200116000433 2020-01-16 CERTIFICATE OF INCORPORATION 2020-01-16

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State