ATTN: ROBERTA MASELOW, NEW YORK, 10010, NEW YORK
| Entity Name | PRATIBHA BANSAL, M.D., P.C. |
| Entity Number | 1917830 |
| Status | ACTIVE |
| Incorporation Date | 1st May 1995 |
| Dos Process Address | 9707 THE PINES, CLARENCE, 10431-1559, NEW YORK |
| Jurisdiction | NEW YORK |
| County | ERIE |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |