775 PARK AVENUE, HUNTINGTON, 11743, NEW YORK
| Entity Name | GARTH HADDEN BALLANTYNE, M.D., P.C. |
| Entity Number | 1851659 |
| Status | ACTIVE |
| Incorporation Date | 14th September 1994 |
| Dos Process Address | 1 SUNSET BEACH RD, BRANFORD, 06405, CONNECTICUT |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |