111 HEWLETT AVENUE, E PATCHOGUE, 11772, NEW YORK
| Entity Name | TIMOTHY JAYASUNDERA M.D., P.C. |
| Entity Number | 3378071 |
| Status | ACTIVE |
| Incorporation Date | 19th June 2006 |
| Dos Process Address | 5402 FLATLANDS AVE, BROOKLYN, 11234, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |