997 IONIA AVE, STATEN ISLAND, 10309, NEW YORK
Entity Name | IMTIAZ A. MALLICK, M.D., P.C. |
Entity Number | 1860303 |
Status | ACTIVE |
Incorporation Date | 17th October 1994 |
Dos Process Address | 798 RTE 9, FISHKILL, 12524, NEW YORK |
Jurisdiction | NEW YORK |
County | DUTCHESS |
Legal form | DOMESTIC PROFESSIONAL CORPORATION |