30 BIRCH STREET, PELHAM, 10803, NEW YORK
| Entity Name | JERRY G. NINIA, M.D., P.C. |
| Entity Number | 4038896 |
| Status | ACTIVE |
| Incorporation Date | 6th January 2011 |
| Dos Process Address | 4 ROOSEVELT AVE, PORT JEFFERSON STAT, 11776, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SUFFOLK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |