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SAMODULSKI PHYSICAL THERAPY P.C.

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Company Details

Name: SAMODULSKI PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 10 Aug 2020 (5 years ago)
Entity Number: 5808026
ZIP code: 11771
County: Nassau
Place of Formation: New York
Address: 17 WEEKS AVENUE, OYSTER BAY, NY, United States, 11771

Contact Details

Phone +1 516-340-9501

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 17 WEEKS AVENUE, OYSTER BAY, NY, United States, 11771

National Provider Identifier

NPI Number:
1164012241
Certification Date:
2023-01-24

Authorized Person:

Name:
JULIAN THOMAS SAMODULSKI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2251X0800X - Orthopedic Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
5163409501

Filings

Filing Number Date Filed Type Effective Date
200810000117 2020-08-10 CERTIFICATE OF INCORPORATION 2020-08-10

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State