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LONG ISLAND INTEGRATED MEDICAL SERVICES, P.C.

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Company Details

Name: LONG ISLAND INTEGRATED MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Aug 2018 (7 years ago)
Entity Number: 5398418
ZIP code: 11804
County: Nassau
Place of Formation: New York
Address: 191 BETHPAGE SWEET HOLLOW ROAD, OLD BETHPAGE, NY, United States, 11804

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 191 BETHPAGE SWEET HOLLOW ROAD, OLD BETHPAGE, NY, United States, 11804

National Provider Identifier

NPI Number:
1235702028
Certification Date:
2021-07-20

Authorized Person:

Name:
VINCENT CONA
Role:
VP
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
180823000465 2018-08-23 CERTIFICATE OF INCORPORATION 2018-08-23

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State