1288 SHERIDAN AVE, TONAWANDA, 14217, NEW YORK
					
				| Entity Name | ELOISA P. ACOSTA, M.D., P.C. | 
| Entity Number | 1990642 | 
| Status | ACTIVE | 
| Incorporation Date | 17th January 1996 | 
| Dos Process Address | 111-14 76TH AVE @ AUSTIN ST, FOREST HILLS, 11375, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | QUEENS | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |