PO BOX 121, MOUNTAINDALE, 12763, NEW YORK
					
				| Entity Name | VIVIAN MOUGIOS PHD PSYCHOLOGIST, P.C. | 
| Entity Number | 3061147 | 
| Status | ACTIVE | 
| Incorporation Date | 2nd June 2004 | 
| Dos Process Address | 400 CENTRAL PARK WEST #18N, NEW YORK, 10025, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NEW YORK | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |