62 EAST 5TH STREET, PATCHOGUE, 11772, NEW YORK
					
				| Entity Name | DAVID GANDLER MD, P.C. | 
| Entity Number | 3306178 | 
| Status | ACTIVE | 
| Incorporation Date | 17th January 2006 | 
| Dos Process Address | 12 EAST 88TH ST STE GRB, NEW YORK, 10128, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NEW YORK | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |