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PREMIER EAST PHYSICAL MEDICINE AND REHABILITATION, P.C.

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Company Details

Name: PREMIER EAST PHYSICAL MEDICINE AND REHABILITATION, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Apr 2011 (14 years ago)
Entity Number: 4082737
ZIP code: 11050
County: Nassau
Place of Formation: New York
Address: 18 MAPLE DRIVE, PORT WASHINGTON, NY, United States, 11050
Principal Address: 2920 RTE 112, MEDFORD, NY, United States, 11763

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Agent

Name Role Address
RAJ D. TOLAT Agent 18 MAPLE DRIVE, PORT WASHINGTON, NY, 11050

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 18 MAPLE DRIVE, PORT WASHINGTON, NY, United States, 11050

Chief Executive Officer

Name Role Address
RAJ TOLAT Chief Executive Officer 18 MAPLE DR, PORT WASHINGTON, NY, United States, 11050

National Provider Identifier

NPI Number:
1275829202
Certification Date:
2020-04-07

Authorized Person:

Name:
DR. RAJ TOLAT
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2081N0008X - Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Fax:
5162945185
Fax:
6316983600

History

Start date End date Type Value
2024-07-19 2024-07-19 Address 18 MAPLE DR, PORT WASHINGTON, NY, 11050, USA (Type of address: Chief Executive Officer)
2024-07-19 2024-09-11 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-07-16 2024-07-19 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2013-05-29 2024-07-19 Address 18 MAPLE DR, PORT WASHINGTON, NY, 11050, USA (Type of address: Chief Executive Officer)
2011-04-18 2024-07-16 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240719000364 2024-07-19 BIENNIAL STATEMENT 2024-07-19
130529002410 2013-05-29 BIENNIAL STATEMENT 2013-04-01
110418000427 2011-04-18 CERTIFICATE OF INCORPORATION 2011-04-18

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
172260
Current Approval Amount:
172260
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
173999.73

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State