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WESTHAMPTON MEDICAL & REHABILITATION P.C.

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Company Details

Name: WESTHAMPTON MEDICAL & REHABILITATION P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Jul 2020 (5 years ago)
Entity Number: 5798651
ZIP code: 11949
County: Nassau
Place of Formation: New York
Address: 12 Saddlebrook Lane, Manorville, NY, United States, 11949
Principal Address: 10 Old Riverhead Road, Suite A, Westhampton Beach, NY, United States, 11978

Shares Details

Shares issued 2000

Share Par Value 0.01

Type PAR VALUE

Agent

Name Role Address
JOSEPH LABBADA Agent 12 SADDLEBROOK LN, MANORVILLE, NY, 11949

DOS Process Agent

Name Role Address
JOSEPH LABBADIA DOS Process Agent 12 Saddlebrook Lane, Manorville, NY, United States, 11949

Chief Executive Officer

Name Role Address
MITCHELL EHRLICH Chief Executive Officer 10 OLD RIVERHEAD ROAD, SUITE A, WESTHAMPTON BEACH, NY, United States, 11978

National Provider Identifier

NPI Number:
1013529551
Certification Date:
2024-09-16

Authorized Person:

Name:
MITCHELL EHRLICH
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
852376608
Plan Year:
2024
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
0
Sponsors Telephone Number:

History

Start date End date Type Value
2020-07-28 2024-10-09 Shares Share type: PAR VALUE, Number of shares: 2000, Par value: 0.01
2020-07-28 2024-10-09 Address 12 SADDLEBROOK LN, MANORVILLE, NY, 11949, USA (Type of address: Registered Agent)
2020-07-28 2024-10-09 Address 12 SADDLEBROOK LN, MANORVILLE, NY, 11949, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241009003429 2024-10-09 BIENNIAL STATEMENT 2024-10-09
200728000388 2020-07-28 CERTIFICATE OF INCORPORATION 2020-07-28

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State