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PHYSICAL MEDICINE AND REHABILITATION MOBILE P.C.

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Company Details

Name: PHYSICAL MEDICINE AND REHABILITATION MOBILE P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Aug 2024 (a year ago)
Entity Number: 7404248
ZIP code: 11207
County: Kings
Place of Formation: New York
Address: 620 wilson avenue pmb #95, BROOKLYN, NY, United States, 11207

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 620 wilson avenue pmb #95, BROOKLYN, NY, United States, 11207

National Provider Identifier

NPI Number:
1093540163
Certification Date:
2024-09-06

Authorized Person:

Name:
JONAH GREEN
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240823002062 2024-08-22 CERTIFICATE OF INCORPORATION 2024-08-22

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State