25-02 FRANCIS LEWIS BLVD, FLUSHING, 11358, NEW YORK
					
				| Entity Name | STEPHEN L. BOSNIAK, M.D., P.C. | 
| Entity Number | 1250124 | 
| Status | ACTIVE | 
| Incorporation Date | 4th April 1988 | 
| Dos Process Address | 833 NORTHERN BLVD, GREAT NECK, 11021, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NEW YORK | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |