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LATITUDE PHYSICAL THERAPY P.C.

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Company Details

Name: LATITUDE PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 02 Oct 2023 (2 years ago)
Entity Number: 7148460
ZIP code: 11963
County: Suffolk
Place of Formation: New York
Address: po box 552, SAG HARBOR, NY, United States, 11963

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent po box 552, SAG HARBOR, NY, United States, 11963

National Provider Identifier

NPI Number:
1326816992
Certification Date:
2024-02-09

Authorized Person:

Name:
GEORGE JAY WILSON
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
231003000781 2023-10-02 CERTIFICATE OF INCORPORATION 2023-10-02

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State