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COMPLETE BODY PHYSICAL THERAPY 1 P.C.

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Company Details

Name: COMPLETE BODY PHYSICAL THERAPY 1 P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Feb 2011 (15 years ago)
Entity Number: 4049728
ZIP code: 10011
County: New York
Place of Formation: New York
Address: 22 WEST 19 STREET, NEW YORK, NY, United States, 10011

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 22 WEST 19 STREET, NEW YORK, NY, United States, 10011

National Provider Identifier

NPI Number:
1265730030

Authorized Person:

Name:
BARTOSZ NIKICIUK
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2122483033

Filings

Filing Number Date Filed Type Effective Date
110201000627 2011-02-01 CERTIFICATE OF INCORPORATION 2011-02-01

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State