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BEACH WELLNESS PHYSICAL THERAPY, LLC

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Company Details

Name: BEACH WELLNESS PHYSICAL THERAPY, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 20 Apr 2018 (7 years ago)
Entity Number: 5326945
ZIP code: 11561
County: Nassau
Place of Formation: New York
Address: 522 WEST BEECH ST., LONG BEACH, NY, United States, 11561

DOS Process Agent

Name Role Address
LACEY CAVALLO DOS Process Agent 522 WEST BEECH ST., LONG BEACH, NY, United States, 11561

National Provider Identifier

NPI Number:
1396523585
Certification Date:
2023-09-19

Authorized Person:

Name:
LACEY CAVALLO
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
180723000830 2018-07-23 CERTIFICATE OF PUBLICATION 2018-07-23
180420000670 2018-04-20 ARTICLES OF ORGANIZATION 2018-04-20

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State