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SPINE CARE MEDICINE, P.C.

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Company Details

Name: SPINE CARE MEDICINE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Jun 2024 (a year ago)
Entity Number: 7359967
ZIP code: 07055
County: New York
Place of Formation: New York
Address: 83 AMSTERDAM AVENUE, PASSAIC, NJ, United States, 07055

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 83 AMSTERDAM AVENUE, PASSAIC, NJ, United States, 07055

National Provider Identifier

NPI Number:
1134929896
Certification Date:
2025-03-13

Authorized Person:

Name:
ABRAHAM D KNOLL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5167581278

Filings

Filing Number Date Filed Type Effective Date
240625002947 2024-06-25 CERTIFICATE OF INCORPORATION 2024-06-25

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State