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EVERGREEN GABLES PHYSICAL THERAPY P.C.

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Company Details

Name: EVERGREEN GABLES PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Nov 2023 (2 years ago)
Entity Number: 7190049
ZIP code: 11219
County: Kings
Place of Formation: New York
Address: 6424 11th ave, BROOKLYN, NY, United States, 11219

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 6424 11th ave, BROOKLYN, NY, United States, 11219

National Provider Identifier

NPI Number:
1679312987
Certification Date:
2024-05-24

Authorized Person:

Name:
DONG HYOUK PARK
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
231124000390 2023-11-22 CERTIFICATE OF INCORPORATION 2023-11-22

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Date of last update: 20 Mar 2025

Sources: New York Secretary of State