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LIFESTYLE REHAB PT, P.C.

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Company Details

Name: LIFESTYLE REHAB PT, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 13 Nov 2013 (12 years ago)
Entity Number: 4486234
ZIP code: 10305
County: Richmond
Place of Formation: New York
Address: 45 LINDA AVENUE, STATEN ISLAND, NY, United States, 10305

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 45 LINDA AVENUE, STATEN ISLAND, NY, United States, 10305

National Provider Identifier

NPI Number:
1477934537

Authorized Person:

Name:
AHMED HAMMAM
Role:
PT
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
131113000368 2013-11-13 CERTIFICATE OF INCORPORATION 2013-11-13

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State