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PORT WASHINGTON MEDICAL REHABILITATION PLLC

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Company Details

Name: PORT WASHINGTON MEDICAL REHABILITATION PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 10 Jul 2019 (6 years ago)
Entity Number: 5584732
ZIP code: 11050
County: Nassau
Place of Formation: New York
Address: 41 CORCHAUG AVENUE, PORT WASHINGTON, NY, United States, 11050

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 41 CORCHAUG AVENUE, PORT WASHINGTON, NY, United States, 11050

National Provider Identifier

NPI Number:
1659972719
Certification Date:
2021-05-13

Authorized Person:

Name:
SAM YEE
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
191206000745 2019-12-06 CERTIFICATE OF PUBLICATION 2019-12-06
190710000358 2019-07-10 ARTICLES OF ORGANIZATION 2019-07-10

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State