4216 GOPHER CIRCLE, LIVERPOOL, 13090, NEW YORK
					
				| Entity Name | JONATHAN BEACH, D.O., PLLC | 
| Entity Number | 3452469 | 
| Status | ACTIVE | 
| Incorporation Date | 21st December 2006 | 
| Dos Process Address | 506 DEVIL'S DEN RD, ALTONA, 12910, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | CLINTON | 
| Legal form | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |