83 MAIDEN LANE, NEW YORK, 10038, NEW YORK
| Entity Name | JEFFREY WALLACH, M.D., P.C. |
| Entity Number | 2205117 |
| Status | ACTIVE |
| Incorporation Date | 4th December 1997 |
| Dos Process Address | 230 EAST 15TH ST #1A, NEW YORK, 10003-3941, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |