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LONG ISLAND PHYSICAL MEDICINE AND REHAB I, P.C.

Company Details

Name: LONG ISLAND PHYSICAL MEDICINE AND REHAB I, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Jul 2008 (17 years ago)
Entity Number: 3701609
ZIP code: 11756
County: Nassau
Place of Formation: New York
Address: 2920 HEMPSTEAD TURNPIKE, LEVITTOWN, NY, United States, 11756
Principal Address: 2920 HEMPSTEAD TPKE, LEVITTOWN, NY, United States, 11756

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2920 HEMPSTEAD TURNPIKE, LEVITTOWN, NY, United States, 11756

Chief Executive Officer

Name Role Address
JAY M WEISS, MD Chief Executive Officer 2920 HEMPSTEAD TPKE, LEVITTOWN, NY, United States, 11756

National Provider Identifier

NPI Number:
1306098991
Certification Date:
2022-08-18

Authorized Person:

Name:
JAY M WEISS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
5169331039

Filings

Filing Number Date Filed Type Effective Date
100719002120 2010-07-19 BIENNIAL STATEMENT 2010-07-01
080728000818 2008-07-28 CERTIFICATE OF INCORPORATION 2008-07-28

Date of last update: 28 Mar 2025

Sources: New York Secretary of State