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GLOBAL REHABILITATION MEDICAL P.C.

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Company Details

Name: GLOBAL REHABILITATION MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Aug 2001 (24 years ago)
Entity Number: 2675883
ZIP code: 11374
County: Queens
Place of Formation: New York
Address: 97-01 66TH AVE, REGO PARK, NY, United States, 11374

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
OLEG FUZYLOV MD DOS Process Agent 97-01 66TH AVE, REGO PARK, NY, United States, 11374

Chief Executive Officer

Name Role Address
OLEG FUZAYLOV MD Chief Executive Officer 97-01 66TH AVE, REGO PARK, NY, United States, 11374

National Provider Identifier

NPI Number:
1548346307

Authorized Person:

Name:
DR. OLEG FUZAYLOV
Role:
SUPERVISING PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
7182756864

Form 5500 Series

Employer Identification Number (EIN):
113627311
Plan Year:
2014
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
18
Sponsors Telephone Number:

History

Start date End date Type Value
2001-08-29 2006-01-10 Address 111-55 77TH AVENUE APT. 5F, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
130826002086 2013-08-26 BIENNIAL STATEMENT 2013-08-01
110823002471 2011-08-23 BIENNIAL STATEMENT 2011-08-01
090803003190 2009-08-03 BIENNIAL STATEMENT 2009-08-01
070816002522 2007-08-16 BIENNIAL STATEMENT 2007-08-01
060110002920 2006-01-10 BIENNIAL STATEMENT 2005-08-01

USAspending Awards / Financial Assistance

Date:
2020-05-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
-183750.00
Total Face Value Of Loan:
0.00

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State