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NEW FORM PHYSICAL THERAPY, P.C.

Company Details

Name: NEW FORM PHYSICAL THERAPY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Nov 2021 (4 years ago)
Entity Number: 6332534
ZIP code: 11236
County: Kings
Place of Formation: New York
Address: 1711 ralph ave, BROOKLYN, NY, United States, 11236

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the professional corporation DOS Process Agent 1711 ralph ave, BROOKLYN, NY, United States, 11236

National Provider Identifier

NPI Number:
1053078170
Certification Date:
2021-11-23

Authorized Person:

Name:
DR. RINKU KURIL
Role:
OWNER, CEO
Phone:

Taxonomy:

Selected Taxonomy:
2251E1300X - Clinical Electrophysiology Physical Therapist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
211119002937 2021-11-19 CERTIFICATE OF INCORPORATION 2021-11-19

Date of last update: 21 Mar 2025

Sources: New York Secretary of State