| Name: | FORM AND FUNCTION PHYSICAL THERAPY P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 28 Jul 2011 (14 years ago) |
| Entity Number: | 4123556 |
| ZIP code: | 11756 |
| County: | Nassau |
| Place of Formation: | New York |
| Address: | 387 GARDINERS AVE., LEVITTOWN, NY, United States, 11756 |
| Principal Address: | 387 GARDINERS AVE, LEVITTOWN, NY, United States, 11756 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 387 GARDINERS AVE., LEVITTOWN, NY, United States, 11756 |
| Name | Role | Address |
|---|---|---|
| AMIR HANNA | Chief Executive Officer | 387 GARDINERS AVE, LEVITTOWN, NY, United States, 11756 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 130726002048 | 2013-07-26 | BIENNIAL STATEMENT | 2013-07-01 |
| 110728000029 | 2011-07-28 | CERTIFICATE OF INCORPORATION | 2011-07-28 |
Date of last update: 26 Mar 2025
Sources: New York Secretary of State
