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NEW YORK NEUROLOGY AND PAIN MANAGEMENT, P.C.

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Company Details

Name: NEW YORK NEUROLOGY AND PAIN MANAGEMENT, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 27 Oct 2021 (4 years ago)
Entity Number: 6452916
ZIP code: 10314
County: Richmond
Place of Formation: New York
Address: 1931 RICHMOND AVENUE, STATEN ISLAND, NY, United States, 10314

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SHAN NAGENDRA DOS Process Agent 1931 RICHMOND AVENUE, STATEN ISLAND, NY, United States, 10314

National Provider Identifier

NPI Number:
1447995568
Certification Date:
2022-05-03

Authorized Person:

Name:
SHAN NAGENDRA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
7184779301

Filings

Filing Number Date Filed Type Effective Date
220407002373 2021-10-27 CERTIFICATE OF INCORPORATION 2021-10-27

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State