775 CAYUGA STREET, LEWISTON, 14092, NEW YORK
| Entity Name | MICHAEL J. KASSOUF, M.D., P.C. |
| Entity Number | 1841387 |
| Status | ACTIVE |
| Incorporation Date | 3rd August 1994 |
| Dos Process Address | 346 76TH STREET, BROOKLYN, 11209, NEW YORK |
| Jurisdiction | NEW YORK |
| County | KINGS |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |