5141 STATE ROUTE 37, MALONE, 12953, NEW YORK
| Entity Name | NANCY E. WALLACH, M.D., P.C. |
| Entity Number | 3666261 |
| Status | ACTIVE |
| Incorporation Date | 2nd May 2008 |
| Dos Process Address | 105 PURITAN AVENUE, FOREST HILLS, 11375, NEW YORK |
| Jurisdiction | NEW YORK |
| County | QUEENS |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |