200 FIFTH AVENUE, SUITE 1305, NEW YORK, 10010, NEW YORK
					
				| Entity Name | CARMEN J. RODRIGUEZ, M.D., P.C. | 
| Entity Number | 3258066 | 
| Status | ACTIVE | 
| Incorporation Date | 19th September 2005 | 
| Dos Process Address | 800 COMMUNITY DRIVE, MANHASSET, 11030, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NASSAU | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |