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CROSS ISLAND PHYSICAL THERAPY P.C.

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Company Details

Name: CROSS ISLAND PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Aug 2023 (2 years ago)
Entity Number: 7007565
ZIP code: 11001
County: Nassau
Place of Formation: New York
Address: 194 covert ave, floral park, NY, United States, 11001

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
melwin p. fernandez DOS Process Agent 194 covert ave, floral park, NY, United States, 11001

National Provider Identifier

NPI Number:
1548046139
Certification Date:
2023-09-07

Authorized Person:

Name:
MELWIN FERNANDEZ
Role:
PHYSICAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
230818001654 2023-08-18 CERTIFICATE OF INCORPORATION 2023-08-18

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State