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DYNAMIC PHYSICAL THERAPY OF QUEENS, PLLC

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Company Details

Name: DYNAMIC PHYSICAL THERAPY OF QUEENS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 16 Jul 2014 (11 years ago)
Entity Number: 4607397
ZIP code: 11379
County: Queens
Place of Formation: New York
Address: 6248 80TH ST. 2ND FLR., MIDDLE VILLAGE, NY, United States, 11379

DOS Process Agent

Name Role Address
CHRISTOPHER BAUTISTA DOS Process Agent 6248 80TH ST. 2ND FLR., MIDDLE VILLAGE, NY, United States, 11379

National Provider Identifier

NPI Number:
1609288331

Authorized Person:

Name:
MR. CHRISTOPHER ANTHONY BAUTISTA
Role:
PRACTICE ADMNISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6463048252

Filings

Filing Number Date Filed Type Effective Date
140716000488 2014-07-16 ARTICLES OF ORGANIZATION 2014-07-16

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State