787 SEVENTH AVENUE, NEW YORK, 10019, NEW YORK
| Entity Name | M. BASTAWROS, PHYSICIAN, P.C. |
| Entity Number | 4461834 |
| Status | ACTIVE |
| Incorporation Date | 20th September 2013 |
| Dos Process Address | 314 SEAVIEW AVENUE, STATEN ISLAND, 10305, NEW YORK |
| Jurisdiction | NEW YORK |
| County | RICHMOND |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |