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NEW YORK SPORTS SPINE PAIN MEDICINE P.C.

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Company Details

Name: NEW YORK SPORTS SPINE PAIN MEDICINE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Jul 2023 (2 years ago)
Entity Number: 6943502
ZIP code: 11419
County: Queens
Place of Formation: New York
Address: 126-20 101st ave, SOUTH RICHMOND HILL, NY, United States, 11419

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 126-20 101st ave, SOUTH RICHMOND HILL, NY, United States, 11419

National Provider Identifier

NPI Number:
1851072607
Certification Date:
2023-07-25

Authorized Person:

Name:
SANJEEV AGARWAL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230723000228 2023-07-21 CERTIFICATE OF INCORPORATION 2023-07-21

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State