76-67 174TH ST, FRESH MEADOWS, 11366, NEW YORK
| Entity Name | OFFICE BASED MEDICAL P.C. |
| Entity Number | 3254950 |
| Status | ACTIVE |
| Incorporation Date | 12th September 2005 |
| Dos Process Address | 67 ROCKYWOOD RD, MANHASSET, 11030, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NASSAU |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |