59 E 54TH ST, NEW YORK, 10022, NEW YORK
| Entity Name | JOHN A. SALLUSTO M.D., P.C. |
| Entity Number | 2041129 |
| Status | ACTIVE |
| Incorporation Date | 20th June 1996 |
| Dos Process Address | 4 PERRY WILLIAMS DR., EAST ISLIP, 11730, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SUFFOLK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |