1500 BROADWAY, NEW YORK, 10036, NEW YORK
| Entity Name | KEN MOADEL, M.D., P.C. |
| Entity Number | 2505462 |
| Status | ACTIVE |
| Incorporation Date | 2nd May 2000 |
| Dos Process Address | 110 EAST 40TH STREET, NEW YORK, 10016, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |