80 WILLOWBROOK ROAD, SURPRISE, 12176, NEW YORK
					
				| Entity Name | PERRY B. HERSON, M.D., P.C. | 
| Entity Number | 2723296 | 
| Status | ACTIVE | 
| Incorporation Date | 25th January 2002 | 
| Dos Process Address | 99 HILLSIDE AVE, WILLISTON PARK, 11596, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NASSAU | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |