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MANA PERFORMANCE PHYSICAL THERAPY P.C.

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Company Details

Name: MANA PERFORMANCE PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 25 Jul 2017 (8 years ago)
Entity Number: 5175255
ZIP code: 14625
County: Monroe
Place of Formation: New York
Address: 1439 CREEK STREET, ROCHESTER, NY, United States, 14625

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1439 CREEK STREET, ROCHESTER, NY, United States, 14625

National Provider Identifier

NPI Number:
1093464158
Certification Date:
2022-03-28

Authorized Person:

Name:
MR. RUSSELL JOHN MANALASTAS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225200000X - Physical Therapy Assistant
Is Primary:
No
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5853100143

Filings

Filing Number Date Filed Type Effective Date
170725000217 2017-07-25 CERTIFICATE OF INCORPORATION 2017-07-25

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State