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ROOSEVELET PT, P.C.

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Company Details

Name: ROOSEVELET PT, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Jul 2023 (2 years ago)
Entity Number: 6940678
ZIP code: 10303
County: Kings
Place of Formation: New York
Address: 121 winham ave, STATEN ISLAND, NY, United States, 10303

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 121 winham ave, STATEN ISLAND, NY, United States, 10303

National Provider Identifier

NPI Number:
1215733829
Certification Date:
2025-02-24

Authorized Person:

Name:
AMRO BARAKAT
Role:
PT
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5162060101

Filings

Filing Number Date Filed Type Effective Date
230719004270 2023-07-18 CERTIFICATE OF INCORPORATION 2023-07-18

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State