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IMPACT OT P.C.

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Company Details

Name: IMPACT OT P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 24 Jul 2017 (8 years ago)
Entity Number: 5174843
ZIP code: 11374
County: Queens
Place of Formation: New York
Address: 64-11 99TH ST., #209, REGO PARK, NY, United States, 11374

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 64-11 99TH ST., #209, REGO PARK, NY, United States, 11374

National Provider Identifier

NPI Number:
1942881495
Certification Date:
2021-04-16

Authorized Person:

Name:
ESTHER CHAIMOV
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
170724000680 2017-07-24 CERTIFICATE OF INCORPORATION 2017-07-24

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State