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LONG ISLAND PHYSICAL THERAPY P.C.

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Company Details

Name: LONG ISLAND PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Jul 2020 (5 years ago)
Entity Number: 5795506
ZIP code: 11747
County: Suffolk
Place of Formation: New York
Address: 2554 NEW YORK AVE, MELVILLE, NY, United States, 11747

Contact Details

Phone +1 631-683-4000

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2554 NEW YORK AVE, MELVILLE, NY, United States, 11747

National Provider Identifier

NPI Number:
1679239057
Certification Date:
2022-01-03

Authorized Person:

Name:
WARDA JAVAID
Role:
WNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
113558943
Plan Year:
2015
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
15
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
200723000572 2020-07-23 CERTIFICATE OF INCORPORATION 2020-07-23

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State