1040 JAY STREET, ROCHESTER, 14611, NEW YORK
					
				| Entity Name | CHARLES C. KWAK, MD, PLLC | 
| Entity Number | 3017308 | 
| Status | ACTIVE | 
| Incorporation Date | 24th February 2004 | 
| Dos Process Address | 34-20 PARSONS BLVD / #LF, FLUSHING, 11354, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | QUEENS | 
| Legal form | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |