715 ROUTE 304, BARDONIA, 10954, NEW YORK
					
				| Entity Name | RAJIV S. SHAH, PHYSICIAN, P.C. | 
| Entity Number | 1253443 | 
| Status | ACTIVE | 
| Incorporation Date | 15th April 1988 | 
| Dos Process Address | 5 CLAY ST, MALONE, 12953, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | FRANKLIN | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |