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SOUTH FORK PHYSICAL THERAPY, P.C.

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Company Details

Name: SOUTH FORK PHYSICAL THERAPY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Dec 1999 (26 years ago)
Entity Number: 2451210
ZIP code: 11968
County: Suffolk
Place of Formation: New York
Address: 174 WOOLEY ST., SOUTHAMPTON, NY, United States, 11968

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 174 WOOLEY ST., SOUTHAMPTON, NY, United States, 11968

National Provider Identifier

NPI Number:
1376728501

Authorized Person:

Name:
MRS. LAUREN DORICE BARRIS
Role:
VICE PRESIDENT PARTNER PT
Phone:

Taxonomy:

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

Contacts:

Fax:
6315377187

Filings

Filing Number Date Filed Type Effective Date
991217000590 1999-12-17 CERTIFICATE OF INCORPORATION 2000-01-01

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State