694 FORT SALONGA ROAD, NORTHPORT, 11768, NEW YORK
| Entity Name | RONALD BLATT, M.D., P.C. |
| Entity Number | 2196154 |
| Status | ACTIVE |
| Incorporation Date | 4th November 1997 |
| Dos Process Address | 144 EAST 44TH STREET, NEW YORK, 10017, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |