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TRI-STATE PHYSICAL MEDICINE & REHABILITATION, P.C.

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Company Details

Name: TRI-STATE PHYSICAL MEDICINE & REHABILITATION, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Jul 1996 (29 years ago)
Entity Number: 2049158
ZIP code: 07024
County: Bronx
Place of Formation: New York
Address: 2433A THIRD STREET, FORT LEE, NJ, United States, 07024

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2433A THIRD STREET, FORT LEE, NJ, United States, 07024

National Provider Identifier

NPI Number:
1295965739

Authorized Person:

Name:
ERIC JACOBSON
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
7188845002

Filings

Filing Number Date Filed Type Effective Date
960718000263 1996-07-18 CERTIFICATE OF INCORPORATION 1996-07-18

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State