P.O. BOX 1222, MASSAPEQUA, 11758, NEW YORK
| Entity Name | WATERS PLACE MEDICAL GROUP, P.C. |
| Entity Number | 4225542 |
| Status | ACTIVE |
| Incorporation Date | 3rd April 2012 |
| Dos Process Address | 332 COVERT AVE., NEW HYDE PARK, 11040, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NASSAU |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |