380 LEXINGTON AVENUE, NEW YORK, 10017, NEW YORK
| Entity Name | MARK GRUDMAN, M.D., P.C. |
| Entity Number | 2850647 |
| Status | ACTIVE |
| Incorporation Date | 31st December 2002 |
| Dos Process Address | 4 WILDFLOWER DR, KINGS PARK, 11754, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SUFFOLK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |