210 EL CAMINO REAL, SOUTH SAN FRANCISCO, 94080, CALIFORNIA
					
				| Entity Name | JACQUELINE M. LEWIS, M.D., P.C. | 
| Entity Number | 2294573 | 
| Status | ACTIVE | 
| Incorporation Date | 3rd September 1998 | 
| Dos Process Address | SOUTHERN WESTCHESTER PAIN CTR, MT VERNON, 10550, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | BRONX | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |