SUITE 1430 ONE ROCKEFELLER PLZ, NEW YORK, 10020, NEW YORK
| Entity Name | TIMOTHY D. GROTH, M.D., P.C. |
| Entity Number | 3256269 |
| Status | ACTIVE |
| Incorporation Date | 14th September 2005 |
| Dos Process Address | 994 WEST JERICH TNPK, SMITHTOWN, 11787, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SUFFOLK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |