178-25 HILLSIDE AVENUE, JAMAICA, 11432, NEW YORK
| Entity Name | NERLIGE BASAVARAJU PHYSICIAN, P.C. |
| Entity Number | 5119854 |
| Status | ACTIVE |
| Incorporation Date | 14th April 2017 |
| Dos Process Address | 378 ELM DRIVE, ROSLYN, 11576, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NASSAU |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |