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GJ, PHYSICAL THERAPIST, PLLC

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Company Details

Name: GJ, PHYSICAL THERAPIST, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Oct 2002 (23 years ago)
Entity Number: 2824772
ZIP code: 11360
County: Queens
Place of Formation: New York
Address: 23-50 WATERS EDGE DR., APT. 4B, BAYSIDE, NY, United States, 11360

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 23-50 WATERS EDGE DR., APT. 4B, BAYSIDE, NY, United States, 11360

National Provider Identifier

NPI Number:
1184091068

Authorized Person:

Name:
DR. GHOLAMREZA JAHANARA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
252Y00000X - Early Intervention Provider Agency
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
021021000173 2002-10-21 ARTICLES OF ORGANIZATION 2002-10-21

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State