352 N KENTUCKY AVE, MASSAPEQUA, 11758, NEW YORK
| Entity Name | DOUGLAS H. INGRAM, M.D, P.C. |
| Entity Number | 2373056 |
| Status | ACTIVE |
| Incorporation Date | 30th April 1999 |
| Dos Process Address | ATTN: MARC STUART GOLDBERG ESQ, WHITE PLAINS, 10601, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |