193 CHESTNUT AVE 1ST FLOOR, STATEN ISLAND, 10305, NEW YORK
| Entity Name | TIMOTHY A. MATHIS MD P.C. |
| Entity Number | 5107449 |
| Status | ACTIVE |
| Incorporation Date | 23rd March 2017 |
| Dos Process Address | 8636 STANDISH ST., ROME, 13440, NEW YORK |
| Jurisdiction | NEW YORK |
| County | ONEIDA |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |