29 BROADWAY, NEW YORK, 10006, NEW YORK
| Entity Name | ALFONSO TAN, M.D., P.C. |
| Entity Number | 481257 |
| Status | ACTIVE |
| Incorporation Date | 4th April 1978 |
| Dos Process Address | 297 WEST MAIN STREET, SAYVILLE, 11782, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SUFFOLK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |