123 REVERE ROAD, ROSLYN HEIGHTS, 11577, NEW YORK
| Entity Name | DIPAK N. VAIDYA, MD, P.C. |
| Entity Number | 3143948 |
| Status | ACTIVE |
| Incorporation Date | 31st December 2004 |
| Dos Process Address | 7 VETTER COURT, N BRUNSWICK, 08902, NEW JERSEY |
| Jurisdiction | NEW JERSEY |
| County | NEW YORK |
| Legal form | FOREIGN PROFESSIONAL CORPORATION |