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MID-ISLAND PHYSICAL MEDICINE AND REHABILITATION, P.C.

Company Details

Name: MID-ISLAND PHYSICAL MEDICINE AND REHABILITATION, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Jan 1992 (33 years ago)
Entity Number: 1601476
ZIP code: 11590
County: Nassau
Place of Formation: New York
Address: 400 POST AVENUE - UNIT 212, WESTBURY, NY, United States, 11590

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
ALI E GUY MD Chief Executive Officer 400 POST AVENUE - UNIT 212, WESTBURY, NY, United States, 11590

DOS Process Agent

Name Role Address
MID-ISLAND PHYSICAL MEDICINE AND REHABILITATION, P.C. DOS Process Agent 400 POST AVENUE - UNIT 212, WESTBURY, NY, United States, 11590

National Provider Identifier

NPI Number:
1710146857

Authorized Person:

Name:
MRS. KRISTINE PINES
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
5163385184

History

Start date End date Type Value
2024-01-24 2024-01-24 Address 400 POST AVENUE - UNIT 212, WESTBURY, NY, 11590, USA (Type of address: Chief Executive Officer)
2023-04-03 2024-01-24 Address 400 POST AVENUE - UNIT 212, WESTBURY, NY, 11590, USA (Type of address: Chief Executive Officer)
2023-04-03 2024-01-24 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-04-03 2023-04-03 Address 400 POST AVENUE - UNIT 212, WESTBURY, NY, 11590, USA (Type of address: Chief Executive Officer)
2023-04-03 2024-01-24 Address 400 POST AVENUE -UNIT 212, WESTBURY, NY, 11590, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240124003468 2024-01-24 BIENNIAL STATEMENT 2024-01-24
230403002969 2023-04-03 BIENNIAL STATEMENT 2022-01-01
180110006099 2018-01-10 BIENNIAL STATEMENT 2018-01-01
160216006228 2016-02-16 BIENNIAL STATEMENT 2016-01-01
140306002725 2014-03-06 BIENNIAL STATEMENT 2014-01-01

Date of last update: 15 Mar 2025

Sources: New York Secretary of State