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YONKERS SPINE MEDICINE PLLC

Company Details

Name: YONKERS SPINE MEDICINE PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Feb 2020 (5 years ago)
Entity Number: 5703343
ZIP code: 10710
County: Westchester
Place of Formation: New York
Address: 1925 CENTRAL PARK AVE, 2ND FLOOR, YONKERS, NY, United States, 10710

DOS Process Agent

Name Role Address
C/O HAN JO KIM DOS Process Agent 1925 CENTRAL PARK AVE, 2ND FLOOR, YONKERS, NY, United States, 10710

Agent

Name Role Address
HAN JO KIM Agent 1925 CENTRAL PARK AVE, 2ND FLOOR, YONKERS, NY, 10710

National Provider Identifier

NPI Number:
1275167082
Certification Date:
2020-03-02

Authorized Person:

Name:
MICHAEL LACKNER
Role:
EMPLOYEE/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
200206000080 2020-02-06 ARTICLES OF ORGANIZATION 2020-02-06

USAspending Awards / Financial Assistance

Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Date of last update: 23 Mar 2025

Sources: New York Secretary of State