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MJG SPINE SURGERY, P.C.

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Company Details

Name: MJG SPINE SURGERY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jun 2021 (4 years ago)
Entity Number: 6027370
ZIP code: 11021
County: Nassau
Place of Formation: New York
Address: 600 NORTHERN BOULEVARD, GREAT NECK, NY, United States, 11021

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 600 NORTHERN BOULEVARD, GREAT NECK, NY, United States, 11021

National Provider Identifier

NPI Number:
1528766821
Certification Date:
2023-02-16

Authorized Person:

Name:
MATTHEW GOLDSTEIN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5164675345

Filings

Filing Number Date Filed Type Effective Date
210602000751 2021-06-02 CERTIFICATE OF INCORPORATION 2021-06-02

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State