12 PUTNAM AVENUE, JERICHO, 11753, NEW YORK
| Entity Name | JUSTIN MIRZA D.O. P.C. |
| Entity Number | 4721179 |
| Status | ACTIVE |
| Incorporation Date | 5th March 2015 |
| Dos Process Address | 290 EAST MAIN STREET, SMITHTOWN, 11787, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SUFFOLK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |