273 ELM STREET, WEST HEMPSTEAD, 11552, NEW YORK
| Entity Name | DWIGHT C. BLUM, M.D. P.L.L.C. |
| Entity Number | 2756048 |
| Status | ACTIVE |
| Incorporation Date | 17th April 2002 |
| Dos Process Address | 500 BI-COUNTY BOULEVARD, FARMINGDALE, 11735, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SUFFOLK |
| Legal form | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |