2392 VALENTINE AVENUE, BRONX, 10458, NEW YORK
					
				| Entity Name | ALAN K. DE ROVIRA, M.D., P.C. | 
| Entity Number | 2071109 | 
| Status | ACTIVE | 
| Incorporation Date | 2nd October 1996 | 
| Dos Process Address | 30 HEMPSTEAD AVE / SUITE H-2, ROCKVILLE CENTRE, 11570, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NASSAU | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |