1522 ATWOOD ROAD, MORAVIA, 13118, NEW YORK
| Entity Name | SAMUEL WAXMAN, M.D., P.C. |
| Entity Number | 2272366 |
| Status | ACTIVE |
| Incorporation Date | 23rd June 1998 |
| Dos Process Address | 1158 5TH AVE, NEW YORK, 10029, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |