| Name: | PHYSICAL MEDICINE & REHABILITATION OF BROOKHAVEN P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 24 Feb 1994 (31 years ago) |
| Entity Number: | 1797957 |
| County: | Suffolk |
| Place of Formation: | New York |
| Principal Address: | 268 MEDFORD AVE, PATCHOGUE, NY, United States, 11772 |
| Principal Address ZIP Code: | 11772 |
| Address: | 268 MEDFORD AVE, SUITE 7, PATCHOGUE, NY, United States, 11772 |
| Address ZIP Code: | 11772 |
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Name | Role | Address |
|---|---|---|
| DANIEL SHAPIRO | Chief Executive Officer | 50 HAZELWOOD AVE, JERICHO, NY, United States, 11753 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 268 MEDFORD AVE, SUITE 7, PATCHOGUE, NY, United States, 11772 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1998-02-04 | 2013-02-05 | Address | 268 MEDFORD AVE, PATCHOGUE, NY, 11772, USA (Type of address: Chief Executive Officer) |
| 1994-02-24 | 1998-02-04 | Address | 268 MEDFORD AVENUE, SUITE 1, PATCHOGUE, NY, 11772, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 130213001002 | 2013-02-13 | CERTIFICATE OF AMENDMENT | 2013-02-13 |
| 130205002417 | 2013-02-05 | AMENDMENT TO BIENNIAL STATEMENT | 2012-02-01 |
| 120406002615 | 2012-04-06 | BIENNIAL STATEMENT | 2012-02-01 |
| 100226002279 | 2010-02-26 | BIENNIAL STATEMENT | 2010-02-01 |
| 080211002647 | 2008-02-11 | BIENNIAL STATEMENT | 2008-02-01 |
| 060320002017 | 2006-03-20 | BIENNIAL STATEMENT | 2006-02-01 |
| 040210002710 | 2004-02-10 | BIENNIAL STATEMENT | 2004-02-01 |
| 020207002346 | 2002-02-07 | BIENNIAL STATEMENT | 2002-02-01 |
| 000228002113 | 2000-02-28 | BIENNIAL STATEMENT | 2000-02-01 |
| 980204002099 | 1998-02-04 | BIENNIAL STATEMENT | 1998-02-01 |
Date of last update: 13 Nov 2024
Sources: New York Secretary of State
