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JOSE ALEX AREVALO O.T. P.C.

Company Details

Name: JOSE ALEX AREVALO O.T. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Apr 2017 (8 years ago)
Entity Number: 5122532
ZIP code: 11714
County: Nassau
Place of Formation: New York
Address: 657 STEWART AVENUE, BETHPAGE, NY, United States, 11714

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 657 STEWART AVENUE, BETHPAGE, NY, United States, 11714

National Provider Identifier

NPI Number:
1770220394
Certification Date:
2023-05-15

Authorized Person:

Name:
JOSE ALEX AREVALO
Role:
OCCUPATIONAL THERAPY
Phone:

Taxonomy:

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

Filings

Filing Number Date Filed Type Effective Date
170420000100 2017-04-20 CERTIFICATE OF INCORPORATION 2017-04-20

Date of last update: 24 Mar 2025

Sources: New York Secretary of State