410 MINNESOTA AVENUE, BUFFALO, 14215, NEW YORK
| Entity Name | STATEWIDE PHYSIATRIC NETWORK IPA, INC. |
| Entity Number | 2085007 |
| Status | ACTIVE |
| Incorporation Date | 15th November 1996 |
| Dos Process Address | 600 OLD COUNTRY ROAD, GARDEN CITY, 11530, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NASSAU |
| Legal form | DOMESTIC NOT-FOR-PROFIT CORPORATION |