1056 FIFTH AVENUE, NEW YORK, 10028, NEW YORK
| Entity Name | PHILIP M. MICKULAS, LCSW, P.C. |
| Entity Number | 4674000 |
| Status | ACTIVE |
| Incorporation Date | 2nd December 2014 |
| Dos Process Address | 115 HOLLY AVE., HEMPSTEAD, 11550, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NASSAU |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |