59 MAIDEN LN, NEW YORK, 10038, NEW YORK
| Entity Name | SHAHRAM HORMOZI, M.D., P.C. |
| Entity Number | 3132653 |
| Status | ACTIVE |
| Incorporation Date | 2nd December 2004 |
| Dos Process Address | 30 COACH LN, MUTTONTOWN, 11791, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SUFFOLK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |