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PHYSICAL THERAPY ASSOCIATES OF LAKE SUCCESS, P.C.

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Company Details

Name: PHYSICAL THERAPY ASSOCIATES OF LAKE SUCCESS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 25 Oct 1984 (41 years ago)
Date of dissolution: 22 Dec 2008
Entity Number: 952693
ZIP code: 11566
County: Nassau
Place of Formation: New York
Address: 1500 JERUSALEM AVE., NORTH MERRICK, NY, United States, 11566

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
PETERSON & PETERSON, ESQS. DOS Process Agent 1500 JERUSALEM AVE., NORTH MERRICK, NY, United States, 11566

National Provider Identifier

NPI Number:
1174549463

Authorized Person:

Name:
ANGELA HITSOUS
Role:
M.D.
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
081222000833 2008-12-22 CERTIFICATE OF DISSOLUTION 2008-12-22
B155098-6 1984-10-25 CERTIFICATE OF INCORPORATION 1984-10-25

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Date of last update: 17 Mar 2025

Sources: New York Secretary of State