576 NORTH 5TH ST., NEW HYDE PARK, 11040, NEW YORK
| Entity Name | MICHAEL LACKNER PHYSICIAN ASSISTANT, P.C. |
| Entity Number | 5091556 |
| Status | ACTIVE |
| Incorporation Date | 24th February 2017 |
| Dos Process Address | 95 FORTFIELD AVENUE, YONKERS, 10701, NEW YORK |
| Jurisdiction | NEW YORK |
| County | WESTCHESTER |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |