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PHYSICIANS MEDICAL REHABILITATION ASSOCIATES, PLLC

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Company Details

Name: PHYSICIANS MEDICAL REHABILITATION ASSOCIATES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 31 Jul 1998 (27 years ago)
Entity Number: 2284642
ZIP code: 11361
County: Queens
Place of Formation: New York
Address: 213-16 39TH AVENUE, BAYSIDE, NY, United States, 11361

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 213-16 39TH AVENUE, BAYSIDE, NY, United States, 11361

National Provider Identifier

NPI Number:
1750468831

Authorized Person:

Name:
DR. JOHN S VLATTAS
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7182797470

Filings

Filing Number Date Filed Type Effective Date
180705006754 2018-07-05 BIENNIAL STATEMENT 2018-07-01
160901006834 2016-09-01 BIENNIAL STATEMENT 2016-07-01
140724006257 2014-07-24 BIENNIAL STATEMENT 2014-07-01
100802003060 2010-08-02 BIENNIAL STATEMENT 2010-07-01
060623002386 2006-06-23 BIENNIAL STATEMENT 2006-07-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State