235 GENESEE STREET, CAYUGA, 13034, NEW YORK
| Entity Name | DOUGLAS J. VAN DER HEIDE, M.D., P.C. |
| Entity Number | 2360033 |
| Status | ACTIVE |
| Incorporation Date | 24th March 1999 |
| Dos Process Address | ATTN: BENNETT I. WEINER, ESQ., NEW YORK, 10016, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |