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ISLAND ONE OCCUPATIONAL THERAPY P.C.

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Company Details

Name: ISLAND ONE OCCUPATIONAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Jan 2020 (6 years ago)
Entity Number: 5680561
ZIP code: 11235
County: Kings
Place of Formation: New York
Address: 2769 CONEY ISLAND AVE, SUITE #2, BROOKLYN, NY, United States, 11235

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2769 CONEY ISLAND AVE, SUITE #2, BROOKLYN, NY, United States, 11235

National Provider Identifier

NPI Number:
1912532706
Certification Date:
2020-03-11

Authorized Person:

Name:
ALRIE OCONNER WAITE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QX0100X - Occupational Medicine Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
200102000563 2020-01-02 CERTIFICATE OF INCORPORATION 2020-01-02

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State