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P.T.C. MEDICAL, P.C.

Company Details

Name: P.T.C. MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 May 2006 (19 years ago)
Entity Number: 3365376
ZIP code: 11768
County: Suffolk
Place of Formation: New York
Address: 405 FT. SALONGA ROAD, NORTHPORT, NY, United States, 11768

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
C/O CHARLES S. RAIFMAN, ESQ. DOS Process Agent 405 FT. SALONGA ROAD, NORTHPORT, NY, United States, 11768

National Provider Identifier

NPI Number:
1740360130

Authorized Person:

Name:
PAOLO THOMAS COPPOLA
Role:
DC
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
6312896177

Filings

Filing Number Date Filed Type Effective Date
060522000439 2006-05-22 CERTIFICATE OF INCORPORATION 2006-05-22

Date of last update: 28 Mar 2025

Sources: New York Secretary of State