145 EAST 2ND STREET 2ND FL., BROOKLYN, 11218, NEW YORK
					
				| Entity Name | CHARLES J. BACALL, M.D., P.C. | 
| Entity Number | 4460765 | 
| Status | ACTIVE | 
| Incorporation Date | 18th September 2013 | 
| Dos Process Address | 1126 PARK AVENUE, NEW YORK, 10128, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NEW YORK | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |