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PHYSIO DEVELOPMENT PT. P.C.

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Company Details

Name: PHYSIO DEVELOPMENT PT. P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Apr 2023 (2 years ago)
Entity Number: 6789705
ZIP code: 11590
County: Nassau
Place of Formation: New York
Address: 165 westwood dr, apt 180, WESTBURY, NY, United States, 11590

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corp. DOS Process Agent 165 westwood dr, apt 180, WESTBURY, NY, United States, 11590

National Provider Identifier

NPI Number:
1205613536
Certification Date:
2023-09-11

Authorized Person:

Name:
MENNATALLAH IBRAHIM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
273Y00000X - Rehabilitation Hospital Unit
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230404000324 2023-04-03 CERTIFICATE OF INCORPORATION 2023-04-03

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State