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KIM GREEN OCCUPATIONAL THERAPY P.C.

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Company Details

Name: KIM GREEN OCCUPATIONAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Oct 2013 (12 years ago)
Entity Number: 4471343
ZIP code: 13066
County: Onondaga
Place of Formation: New York
Address: 104 CLINTON STREET, FAYETTEVILLE, NY, United States, 13066

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 104 CLINTON STREET, FAYETTEVILLE, NY, United States, 13066

National Provider Identifier

NPI Number:
1851581151

Authorized Person:

Name:
MS. KIMBERLY C GREEN
Role:
OCCUPATIONAL THERAPIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

Fax:
3156371335

Form 5500 Series

Employer Identification Number (EIN):
463883418
Plan Year:
2017
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
131010000515 2013-10-10 CERTIFICATE OF INCORPORATION 2013-10-10

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State