1548 N THOMPSON DR, BAY SHORE, 11706, NEW YORK
					
				| Entity Name | RENU GUPTA, MD, P.C. | 
| Entity Number | 3073673 | 
| Status | ACTIVE | 
| Incorporation Date | 1st July 2004 | 
| Dos Process Address | 9 OLD ENGLISH RD, SLINGERLAND, 12159, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | ALBANY | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |