601 W 150TH ST, NEW YORK, 10031, NEW YORK
					
				| Entity Name | PRASAD VENKATA K V KAMBHAMPATI, PHYSICIAN, P.C. | 
| Entity Number | 1973675 | 
| Status | ACTIVE | 
| Incorporation Date | 15th November 1995 | 
| Dos Process Address | 204 BITTERN COURT, NEW HARTFORD, 13413-3516, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | MADISON | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |