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BALDWIN HARBOR PHYSICAL THERAPY, P.C.

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Company Details

Name: BALDWIN HARBOR PHYSICAL THERAPY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 Aug 1994 (31 years ago)
Entity Number: 1843712
ZIP code: 10169
County: Nassau
Place of Formation: New York
Address: 230 PARK AVENUE, SUITE 935, NEW YORK, NY, United States, 10169

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 230 PARK AVENUE, SUITE 935, NEW YORK, NY, United States, 10169

National Provider Identifier

NPI Number:
1093876054

Authorized Person:

Name:
MS. SUSAN MATIS CICIO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
5168670868

Filings

Filing Number Date Filed Type Effective Date
940811000555 1994-08-11 CERTIFICATE OF INCORPORATION 1994-08-11

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State