41-25 KISSENA BLVD., STE. 1SS, FLUSHING, 11355, NEW YORK
| Entity Name | JEFFREY C. BLUM, O.D., P.C. |
| Entity Number | 2639527 |
| Status | ACTIVE |
| Incorporation Date | 16th May 2001 |
| Dos Process Address | 20 WEST PARK AVENUE, LONG BEACH, 11561, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NASSAU |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |