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WESTERN NEW YORK FITNESS REHABILITATION PT, PLLC

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Company Details

Name: WESTERN NEW YORK FITNESS REHABILITATION PT, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 31 Jul 2020 (5 years ago)
Entity Number: 5801885
ZIP code: 14075
County: Erie
Place of Formation: New York
Address: 6101 SOUTH PARK AVENUE, HAMBURG, NY, United States, 14075

DOS Process Agent

Name Role Address
C/O MARK R. WALLING, ESQ. DOS Process Agent 6101 SOUTH PARK AVENUE, HAMBURG, NY, United States, 14075

National Provider Identifier

NPI Number:
1891391199
Certification Date:
2020-12-10

Authorized Person:

Name:
DR. DANIEL R KELLER
Role:
MEMBER
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
201103000497 2020-11-03 CERTIFICATE OF PUBLICATION 2020-11-03
200731000274 2020-07-31 ARTICLES OF ORGANIZATION 2020-07-31

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State