45-20 WHITNEY AVENUE, ELMHURST, 11373, NEW YORK
| Entity Name | STEPHEN WAN, M.D., P.L.L.C. |
| Entity Number | 1951384 |
| Status | ACTIVE |
| Incorporation Date | 28th August 1995 |
| Dos Process Address | 217 GRAND ST, NEW YORK, 10013, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |