9340 QUEENS BLVD, APT 4J, REGO PARK, 11374, NEW YORK
| Entity Name | PHILLIP MAXWELL PHYSICIAN ASSISTANT, P.C. |
| Entity Number | 4748232 |
| Status | ACTIVE |
| Incorporation Date | 24th April 2015 |
| Dos Process Address | 39 TAPPAN AVENUE, BABYLON, 11702, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SUFFOLK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |