220 EAST 57TH ST, NEW YORK, 10022-2805, NEW YORK
					
				| Entity Name | KETLY NINO-FORTUNE, D.D.S., P.C. | 
| Entity Number | 1668742 | 
| Status | ACTIVE | 
| Incorporation Date | 25th September 1992 | 
| Dos Process Address | 184-02 HILLSIDE AVENUE, JAMAICA, 11432, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | QUEENS | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |