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EVOLVE PHYSICAL MEDICINE AND REHABILITATION, P.C

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Company Details

Name: EVOLVE PHYSICAL MEDICINE AND REHABILITATION, P.C
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Mar 2018 (7 years ago)
Entity Number: 5312545
ZIP code: 10016
County: New York
Place of Formation: New York
Address: 16 E. 40TH STREET, NEW YORK, NY, United States, 10016

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 16 E. 40TH STREET, NEW YORK, NY, United States, 10016

National Provider Identifier

NPI Number:
1548814742

Authorized Person:

Name:
DIANA BELLO
Role:
INSURANCE RESOLUTION SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
171100000X - Acupuncturist
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
191008000788 2019-10-08 CERTIFICATE OF AMENDMENT 2019-10-08
180328000020 2018-03-28 CERTIFICATE OF INCORPORATION 2018-03-28

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State