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MILLER PLACE PHYSICAL THERAPY P.C.

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Company Details

Name: MILLER PLACE PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Jun 2017 (8 years ago)
Entity Number: 5155532
ZIP code: 11764
County: Suffolk
Place of Formation: New York
Address: 41 ECHO AVENUE, MILLER PLACE, NY, United States, 11764

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 41 ECHO AVENUE, MILLER PLACE, NY, United States, 11764

National Provider Identifier

NPI Number:
1467966168

Authorized Person:

Name:
DR. DONALD A MCCREA
Role:
DOCTOR OF PHYSICAL THERAPY
Phone:

Taxonomy:

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

Contacts:

Fax:
6319287068

Form 5500 Series

Employer Identification Number (EIN):
821915346
Plan Year:
2020
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
9
Sponsors Telephone Number:

History

Start date End date Type Value
2017-06-16 2024-10-14 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
170616000064 2017-06-16 CERTIFICATE OF INCORPORATION 2017-06-16

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State