63 PIN OAK CIRCLE STE 204, GRAND ISLAND, 14072, NEW YORK
					
				| Entity Name | MARC E. WIETSCHNER, MD, P.C. | 
| Entity Number | 3152646 | 
| Status | ACTIVE | 
| Incorporation Date | 20th January 2005 | 
| Dos Process Address | 208-01 HILLSIDE AVENUE, QUEENS VILLAGE, 11427, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NASSAU | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |