22 ROBBINS ROAD, KENSINGTON, 06037-2610, CONNECTICUT
					
				| Entity Name | ROSHAN KOTHANDARAM PHYSICIAN, P.C. | 
| Entity Number | 2896958 | 
| Status | ACTIVE | 
| Incorporation Date | 21st April 2003 | 
| Dos Process Address | W-558 OLD COUNTRY ROAD, PLAINVIEW, 11803, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NASSAU | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |