4 TOMKINS COURT, COMMACK, 11725, NEW YORK
| Entity Name | MIMI G. BANSAL M.D., P.C. |
| Entity Number | 3233421 |
| Status | ACTIVE |
| Incorporation Date | 21st July 2005 |
| Dos Process Address | 2001 MARCUS AVENUE, LAKE SUCCESS, 11042, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NASSAU |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |