| Entity Name | MARK FAGELMAN M.D., P.C. |
| Entity Number | 385853 |
| Status | ACTIVE |
| Incorporation Date | 4th December 1975 |
| Dos Process Address | 11 MEDICAL PARK DRIVE, STE.101, POMONA, 10970, NEW YORK |
| Jurisdiction | NEW YORK |
| County | ROCKLAND |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |