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REVAMP PHYSICAL THERAPY REHAB PLLC

Company Details

Name: REVAMP PHYSICAL THERAPY REHAB PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Nov 2019 (6 years ago)
Entity Number: 5650252
ZIP code: 11772
County: Suffolk
Place of Formation: New York
Address: 121 LABONNEVIE DRIVE #G, PATCHOGUE, NY, United States, 11772

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 121 LABONNEVIE DRIVE #G, PATCHOGUE, NY, United States, 11772

National Provider Identifier

NPI Number:
1023654563

Authorized Person:

Name:
DR. SYLVERA VOSKAMP
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
191105000004 2019-11-05 ARTICLES OF ORGANIZATION 2019-11-05

Date of last update: 23 Mar 2025

Sources: New York Secretary of State