1710 FIRST AVE #121, NEW YORK, 10128-4902, NEW YORK
					
				| Entity Name | PETER PATETSIOS M.D., P.C. | 
| Entity Number | 4255997 | 
| Status | ACTIVE | 
| Incorporation Date | 8th June 2012 | 
| Dos Process Address | 19 UNIVERSITY PLACE, GLEN HEAD, 11545, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | QUEENS | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |