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BORO WELLNESS PHYSICAL THERAPY, LLC

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Company Details

Name: BORO WELLNESS PHYSICAL THERAPY, LLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Oct 2019 (6 years ago)
Entity Number: 5635459
ZIP code: 11219
County: Kings
Place of Formation: New York
Address: 4909 FORT HAMILTON PARKWAY, SUITE A, BROOKLYN, NY, United States, 11219

Contact Details

Phone +1 347-627-9434

DOS Process Agent

Name Role Address
BORO WELLNESS PHYSICAL THERAPY, LLC DOS Process Agent 4909 FORT HAMILTON PARKWAY, SUITE A, BROOKLYN, NY, United States, 11219

National Provider Identifier

NPI Number:
1942780317
Certification Date:
2024-12-16

Authorized Person:

Name:
MR. RONALD BUENAGUA RUSTIA
Role:
PHYSICAL THERAPIST
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2019-10-09 2024-11-04 Address 4909 FORT HAMILTON PARKWAY, BROOKLYN, NY, 11219, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241104002942 2024-11-04 BIENNIAL STATEMENT 2024-11-04
200323001211 2020-03-23 CERTIFICATE OF PUBLICATION 2020-03-23
191009000231 2019-10-09 ARTICLES OF ORGANIZATION 2019-10-09

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State