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PHYSICAL MEDICINE & REHABILITATION CONSULTANT, P.C.

Company Details

Name: PHYSICAL MEDICINE & REHABILITATION CONSULTANT, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 11 May 1995 (30 years ago)
Entity Number: 1921201
ZIP code: 10018
County: Queens
Place of Formation: New York
Address: 570 SEVENTH AVENUE, RM. 1802, NEW YORK, NY, United States, 10018
Principal Address: 42 WIMBLETON LANE, GREAT NECK, NY, United States, 11023

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DR JEFFREY L COLE Chief Executive Officer 42 WIMBLETON LN, GREAT NECK, NY, United States, 11023

DOS Process Agent

Name Role Address
PAUL GOTTBETTER, ESQ. DOS Process Agent 570 SEVENTH AVENUE, RM. 1802, NEW YORK, NY, United States, 10018

National Provider Identifier

NPI Number:
1619165180

Authorized Person:

Name:
DR. JEFFREY LEWIS COLE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RS0010X - Sports Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207XX0801X - Orthopaedic Trauma Physician
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Fax:
7182633427

History

Start date End date Type Value
1997-05-30 2003-05-14 Address 41 WIMBLETON LN, GREAT NECK, NY, 11023, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
130530002096 2013-05-30 BIENNIAL STATEMENT 2013-05-01
090428002240 2009-04-28 BIENNIAL STATEMENT 2009-05-01
071219002005 2007-12-19 BIENNIAL STATEMENT 2007-05-01
050708002325 2005-07-08 BIENNIAL STATEMENT 2005-05-01
030514002661 2003-05-14 BIENNIAL STATEMENT 2003-05-01

Date of last update: 14 Mar 2025

Sources: New York Secretary of State