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WYCKOFF PHYSICAL THERAPY P.C.

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Company Details

Name: WYCKOFF PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Nov 2015 (10 years ago)
Entity Number: 4853933
ZIP code: 11237
County: Kings
Place of Formation: New York
Address: 201 ST. NICHOLAS AVE, BROOKLYN, NY, United States, 11237

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 201 ST. NICHOLAS AVE, BROOKLYN, NY, United States, 11237

National Provider Identifier

NPI Number:
1629442793

Authorized Person:

Name:
JENNY TAN
Role:
BILLING & COLLECTION DEPT. HEAD
Phone:

Taxonomy:

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

Contacts:

Fax:
7185596784

Filings

Filing Number Date Filed Type Effective Date
151123000486 2015-11-23 CERTIFICATE OF INCORPORATION 2015-11-23

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State