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CRESTWATER PHYSICAL THERAPY P.C.

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Company Details

Name: CRESTWATER PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Jun 2015 (10 years ago)
Entity Number: 4780682
ZIP code: 10305
County: Richmond
Place of Formation: New York
Address: 45 CRESTWATER COURT, STATEN ISLAND, NY, United States, 10305

Contact Details

Phone +1 718-745-1313

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 CRESTWATER COURT, STATEN ISLAND, NY, United States, 10305

National Provider Identifier

NPI Number:
1083080576

Authorized Person:

Name:
MRS. MAI ABDALLA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
7187451333

Filings

Filing Number Date Filed Type Effective Date
150625000682 2015-06-25 CERTIFICATE OF INCORPORATION 2015-06-25

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State