18 WOODARD AVE., BUFFALO, 14214, NEW YORK
					
				| Entity Name | KEITH E. JOHNSON, M.D., P.C. | 
| Entity Number | 5090604 | 
| Status | ACTIVE | 
| Incorporation Date | 23rd February 2017 | 
| Dos Process Address | 7536 E. SOUTH STREET, CLINTON, 13323, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | ONEIDA | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |