1293 CLOVE ROAD, STATEN ISLAND, 10301, NEW YORK
					
				| Entity Name | CANDICE PERKINS, M.D., P.C. | 
| Entity Number | 5114331 | 
| Status | ACTIVE | 
| Incorporation Date | 4th April 2017 | 
| Dos Process Address | 18 TARLETON LANE, FORT SALONGA, 11768, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | SUFFOLK | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |