111 EIGHTH AVENUE, NEW YORK, 10011, NEW YORK
					
				| Entity Name | STACY SHAPIRO, SLP-CCC, P.C. | 
| Entity Number | 2829268 | 
| Status | ACTIVE | 
| Incorporation Date | 31st October 2002 | 
| Dos Process Address | 95-06 FAIRFIELD WAY, COMMACK, 11725, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | SUFFOLK | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |