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FIVE S & A REHAB P.T. P.C.

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Company Details

Name: FIVE S & A REHAB P.T. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Jun 2008 (17 years ago)
Entity Number: 3686779
ZIP code: 11427
County: Queens
Place of Formation: New York
Address: 88-39 208TH STREET, QUEENS VILLAGE, NY, United States, 11427
Principal Address: 89-33 208TH ST, QUEENS VILLAGE, NY, United States, 11427

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
SHAABAN ELAMAWAY Chief Executive Officer 88-39 208TH ST, QUEENS VILLAGE, NY, United States, 11427

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 88-39 208TH STREET, QUEENS VILLAGE, NY, United States, 11427

National Provider Identifier

NPI Number:
1508168212

Authorized Person:

Name:
SHABAN ELAMAWAY
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
100720002928 2010-07-20 BIENNIAL STATEMENT 2010-06-01
080619000711 2008-06-19 CERTIFICATE OF INCORPORATION 2008-06-19

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State