4 TENNESSEE AVE, BAY SHORE, 11706, NEW YORK
| Entity Name | JAY BASSELL, M.D., P.C. |
| Entity Number | 2207093 |
| Status | ACTIVE |
| Incorporation Date | 10th December 1997 |
| Dos Process Address | 825 WEST END AVE., NEW YORK, 10025-5349, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |