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PRINCIPAL PHYSICAL THERAPY, PLLC

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Company Details

Name: PRINCIPAL PHYSICAL THERAPY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 15 Apr 2020 (5 years ago)
Entity Number: 5738306
ZIP code: 11003
County: Nassau
Place of Formation: New York
Address: 115-40 237TH ST, ELMONT, NY, United States, 11003

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 115-40 237TH ST, ELMONT, NY, United States, 11003

National Provider Identifier

NPI Number:
1356963367
Certification Date:
2023-01-29

Authorized Person:

Name:
DR. SUZE-ELISHA PRINCIPAL
Role:
PHYSICAL THERAPIST
Phone:

Taxonomy:

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

Contacts:

Fax:
8558201237

Filings

Filing Number Date Filed Type Effective Date
201020000014 2020-10-20 CERTIFICATE OF PUBLICATION 2020-10-20
200415000378 2020-04-15 ARTICLES OF ORGANIZATION 2020-04-15

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State