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AGE ACTIVELY PHYSICAL THERAPY, P.C.

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Company Details

Name: AGE ACTIVELY PHYSICAL THERAPY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Apr 2013 (12 years ago)
Entity Number: 4382049
ZIP code: 11510
County: Nassau
Place of Formation: New York
Address: 1633 WESTRVELT AVENUE, NORTH BALDWIN, NY, United States, 11510

Shares Details

Shares issued 1

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1633 WESTRVELT AVENUE, NORTH BALDWIN, NY, United States, 11510

National Provider Identifier

NPI Number:
1790116549

Authorized Person:

Name:
MR. EDGAR JOSEPH BIAZON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
5162085005

Filings

Filing Number Date Filed Type Effective Date
130402000014 2013-04-02 CERTIFICATE OF INCORPORATION 2013-04-02

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State