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SKYLINE SPINE AND PAIN MEDICINE, P.C.

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Company Details

Name: SKYLINE SPINE AND PAIN MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 May 2023 (2 years ago)
Entity Number: 6821010
ZIP code: 11040
County: Nassau
Place of Formation: New York
Address: 2417 jericho turnpike, #310, NEW HYDE PARK, NY, United States, 11040

Contact Details

Phone +1 212-498-8982

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 2417 jericho turnpike, #310, NEW HYDE PARK, NY, United States, 11040

National Provider Identifier

NPI Number:
1700578366
Certification Date:
2023-06-21

Authorized Person:

Name:
PRASHANTH REDDY
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2122082519

History

Start date End date Type Value
2025-04-18 2025-06-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-04-11 2025-04-18 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-04-07 2025-04-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-03-31 2025-04-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-03-14 2025-03-31 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
230501005320 2023-05-01 CERTIFICATE OF INCORPORATION 2023-05-01

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State