100 MERRICK ROAD, SUITE 202 E., ROCKVILLE CENTRE, 11570, NEW YORK
| Entity Name | LAKE GROVE PEDIATRICS P.C. |
| Entity Number | 4059523 |
| Status | ACTIVE |
| Incorporation Date | 24th February 2011 |
| Dos Process Address | 5 PENN PLAZA, NEW YORK, 10001, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SUFFOLK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |