111 CAPTAINS RD, NORTH WOODMERE, 11581, NEW YORK
| Entity Name | THEODORE FRIED, M.D., BURFORD K. WELCH, M.D., DAVID I. HAUER, M.D., P.C. |
| Entity Number | 332956 |
| Status | ACTIVE |
| Incorporation Date | 26th June 1972 |
| Dos Process Address | 388 HAWKINS AVENUE, LAKE RONKKONKOMA, 11779, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SUFFOLK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |