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EASTERN SUFFOLK SPINE & PAIN MEDICINE, PLLC

Company Details

Name: EASTERN SUFFOLK SPINE & PAIN MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Aug 2021 (4 years ago)
Entity Number: 6269885
ZIP code: 11777
County: Suffolk
Place of Formation: New York
Address: 3 france lane, PORT JEFFERSON, NY, United States, 11777

DOS Process Agent

Name Role Address
THE PLLC DOS Process Agent 3 france lane, PORT JEFFERSON, NY, United States, 11777

National Provider Identifier

NPI Number:
1568223923
Certification Date:
2024-04-30

Authorized Person:

Name:
DR. SAMUEL PEARCE BROWN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6314775891

History

Start date End date Type Value
2021-11-16 2024-04-18 Address 3 france lane, PORT JEFFERSON, NY, 11777, USA (Type of address: Service of Process)
2021-08-30 2021-11-16 Address 3 france lane, PORT JEFFERSON, NY, 11777, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240418002134 2024-04-18 BIENNIAL STATEMENT 2024-04-18
211116003077 2021-11-16 CERTIFICATE OF PUBLICATION 2021-11-16
210830002408 2021-08-27 ARTICLES OF ORGANIZATION 2021-08-27

Date of last update: 21 Mar 2025

Sources: New York Secretary of State