126C E. MAIN STREET, EAST ISLIP, 11730, NEW YORK
| Entity Name | PREM PRAKASH GUPTA MD P.C. |
| Entity Number | 2824684 |
| Status | ACTIVE |
| Incorporation Date | 21st October 2002 |
| Dos Process Address | 39 OLD MONTICELLO ROAD, FERNDALE, 12734, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SULLIVAN |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |