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SERENITY SOURCE PHYSICAL THERAPY, CHIROPRACTIC & MASSAGE, PLLC

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Company Details

Name: SERENITY SOURCE PHYSICAL THERAPY, CHIROPRACTIC & MASSAGE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Oct 2012 (13 years ago)
Entity Number: 4308574
ZIP code: 11715
County: Suffolk
Place of Formation: New York
Address: 18 WEEKS STREET, BLUE POINT, NY, United States, 11715

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 18 WEEKS STREET, BLUE POINT, NY, United States, 11715

National Provider Identifier

NPI Number:
1093117202

Authorized Person:

Name:
DEIRDRE MCCOOL
Role:
BILLER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
6317518298

Filings

Filing Number Date Filed Type Effective Date
140902000366 2014-09-02 CERTIFICATE OF AMENDMENT 2014-09-02
121206000487 2012-12-06 CERTIFICATE OF PUBLICATION 2012-12-06
121016000282 2012-10-16 ARTICLES OF ORGANIZATION 2012-10-16

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State