P.O. BOX 1219, SOUTHOLD, 11971, NEW YORK
					
				| Entity Name | MITUL R. PATEL M.D., P.C. | 
| Entity Number | 3371661 | 
| Status | ACTIVE | 
| Incorporation Date | 6th June 2006 | 
| Dos Process Address | 250 PATCHOGUE YAPHANK ROAD, PATCHOGUE, 11772, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | SUFFOLK | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |