666 FIFTH AVE., NEW YORK, 10019, NEW YORK
| Entity Name | CUILLERMINA DEPORTAGE, M. D., P. C. |
| Entity Number | 347001 |
| Status | ACTIVE |
| Incorporation Date | 1st July 1974 |
| Dos Process Address | 101 CLARK ST., BROOKLYN, 11201, NEW YORK |
| Jurisdiction | NEW YORK |
| County | KINGS |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |