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716 ORTHOPAEDICS AND SPINE SURGERY, PLLC

Company Details

Name: 716 ORTHOPAEDICS AND SPINE SURGERY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Oct 2020 (5 years ago)
Entity Number: 5865641
ZIP code: 14217
County: Erie
Place of Formation: New York
Address: 2914 ELMWOOD AVE., KENMORE, NY, United States, 14217

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2914 ELMWOOD AVE., KENMORE, NY, United States, 14217

National Provider Identifier

NPI Number:
1376139972
Certification Date:
2020-12-17

Authorized Person:

Name:
ROGER WARREN ROGERS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
7166519855
Fax:
7167756288

Form 5500 Series

Employer Identification Number (EIN):
853683447
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
210428000799 2021-04-28 CERTIFICATE OF PUBLICATION 2021-04-28
201027000275 2020-10-27 ARTICLES OF ORGANIZATION 2020-10-27

Date of last update: 22 Mar 2025

Sources: New York Secretary of State