189 FOREST AVENUE, GLEN COVE, 11542, NEW YORK
Entity Name | KEVIN T. CUSTIS, M.D., P.C. |
Entity Number | 2369196 |
Status | ACTIVE |
Incorporation Date | 20th April 1999 |
Dos Process Address | 828 WILLOUGHBY AVE, BROOKLYN, 11206, NEW YORK |
Jurisdiction | NEW YORK |
County | KINGS |
Legal form | DOMESTIC PROFESSIONAL CORPORATION |