420 WEST 23RD STREET, #6B, NEW YORK, 10011, NEW YORK
| Entity Name | LAURIS J. PETERSEN, M.D., P.C. |
| Entity Number | 2835515 |
| Status | ACTIVE |
| Incorporation Date | 18th November 2002 |
| Dos Process Address | 5 MONARDA DR, SCOTA, 12302, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SCHENECTADY |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |