30 NEW YORK AVENUE, WESTBURY, 11590, NEW YORK
					
				| Entity Name | QUEENS DIAGNOSTIC IMAGING SERVICES - BRUCE HERZOG, M.D, P.C. | 
| Entity Number | 440258 | 
| Status | ACTIVE | 
| Incorporation Date | 5th July 1977 | 
| Dos Process Address | 15 BOND ST., GREAT NECK, 11021, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NASSAU | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |