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PECONIC BAY PHYSICAL THERAPY & CHIROPRACTIC PLLC

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Company Details

Name: PECONIC BAY PHYSICAL THERAPY & CHIROPRACTIC PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 29 Jun 2022 (3 years ago)
Entity Number: 6524860
ZIP code: 11967
County: Suffolk
Place of Formation: New York
Address: 439 william floyd parkway, SHIRLEY, NY, United States, 11967

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 439 william floyd parkway, SHIRLEY, NY, United States, 11967

National Provider Identifier

NPI Number:
1720848302
Certification Date:
2024-03-20

Authorized Person:

Name:
ENZA REID
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
6318000015

Filings

Filing Number Date Filed Type Effective Date
220630002600 2022-06-29 ARTICLES OF ORGANIZATION 2022-06-29

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State