470 PARK AVE SOUTH, NEW YORK, 10016, NEW YORK
					
				| Entity Name | ROBERTA F. SHAPIRO, DO, FAAPMR, PLLC | 
| Entity Number | 2884217 | 
| Status | ACTIVE | 
| Incorporation Date | 19th March 2003 | 
| Dos Process Address | C/O KLEIN, LAKE SUCCESS, 11042, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NEW YORK | 
| Legal form | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |