23 MARCY RD, LAKE PLACID, 12946, NEW YORK
					
				| Entity Name | JACQUELINE M. SPENCER, D.O., P.C. | 
| Entity Number | 3418533 | 
| Status | ACTIVE | 
| Incorporation Date | 28th September 2006 | 
| Dos Process Address | 1452 DEER PARK AVENUE, N BABYLON, 11703, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | SUFFOLK | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |