1150 PORTION ROAD, HOLTSVILLE, 11721, NEW YORK
					
				| Entity Name | UNION SQUARE MEDICAL, P.C. | 
| Entity Number | 3146663 | 
| Status | ACTIVE | 
| Incorporation Date | 6th January 2005 | 
| Dos Process Address | 200 PARK AVE SOUTH, NEW YORK, 10003, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NEW YORK | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |