122 ROUTE 22, BREWSTER, 10509, NEW YORK
					
				| Entity Name | RANDOLPH P. DI LORENZO, M.D., P.C. | 
| Entity Number | 1620067 | 
| Status | ACTIVE | 
| Incorporation Date | 11th March 1992 | 
| Dos Process Address | 7 MADDER LAKE CIRCLE, COMMACK, 11725, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NASSAU | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |