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NBC HEALTH PHYSICAL THERAPY P.C.

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Company Details

Name: NBC HEALTH PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Sep 2017 (8 years ago)
Entity Number: 5202847
ZIP code: 11373
County: Queens
Place of Formation: New York
Address: 43-12 JUDGE ST., APT. 1R, ELMHURST, NY, United States, 11373

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 43-12 JUDGE ST., APT. 1R, ELMHURST, NY, United States, 11373

National Provider Identifier

NPI Number:
1952885980

Authorized Person:

Name:
NATHANIEL BREX ROA CAYETUNA
Role:
PHYSICAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
7188866037

History

Start date End date Type Value
2017-09-15 2025-04-09 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
170915000287 2017-09-15 CERTIFICATE OF INCORPORATION 2017-09-15

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State