| Entity Name | LOWYD W. R. BALLANTYNE, JR., M.D., P.C. |
| Entity Number | 327422 |
| Status | ACTIVE |
| Incorporation Date | 7th April 1972 |
| Dos Process Address | 150 E. 58TH ST., NEW YORK, 10022, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |