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FUNCTIONAL LIFESTYLES PHYSICAL AND OCCUPATIONAL THERAPY PLLC

Company Details

Name: FUNCTIONAL LIFESTYLES PHYSICAL AND OCCUPATIONAL THERAPY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 30 May 2008 (17 years ago)
Entity Number: 3678239
ZIP code: 11358
County: Queens
Place of Formation: New York
Address: 199-11 33RD AVENUE, FLUSHING, NY, United States, 11358

Agent

Name Role Address
SPIEGEL & UTRERA, P.A., P.C. Agent 1 MAIDEN LANE, 5TH FLOOR, NEW YORK, NY, 10038

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 199-11 33RD AVENUE, FLUSHING, NY, United States, 11358

National Provider Identifier

NPI Number:
1790945020

Authorized Person:

Name:
MR. JUAN CARLOS TURCIOS
Role:
OPERATING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
100610002667 2010-06-10 BIENNIAL STATEMENT 2010-05-01
080903000113 2008-09-03 CERTIFICATE OF PUBLICATION 2008-09-03
080530000292 2008-05-30 ARTICLES OF ORGANIZATION 2008-05-30

Date of last update: 28 Mar 2025

Sources: New York Secretary of State