26 RANDOLPH DRIVE, DIX HILLS, 11746, NEW YORK
| Entity Name | THOMASENA L. ELLISON, M.D. P.C. |
| Entity Number | 2061390 |
| Status | ACTIVE |
| Incorporation Date | 29th August 1996 |
| Dos Process Address | 510 EAST 17TH ST, BROOKLYN, 11226-6606, NEW YORK |
| Jurisdiction | NEW YORK |
| County | KINGS |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |