1700 WALNUT ST., PHILADELPHIA, 19103, PENNSYLVANIA
					
				| Entity Name | MARK ANTOSH, M.D., P.C. | 
| Entity Number | 295258 | 
| Status | ACTIVE | 
| Incorporation Date | 2nd September 1970 | 
| Dos Process Address | 824 FRANKLIN PARK DR, EAST SYRACUSE, 13057, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | ONONDAGA | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |