979 LAMONT AVENUE, STATEN ISLAND, 10309, NEW YORK
Entity Name | PROVIDENCE MEDICAL SERVICES, PLLC |
Entity Number | 5164543 |
Status | ACTIVE |
Incorporation Date | 3rd July 2017 |
Dos Process Address | 121 POVERTY HOLLOW ROAD, NEWTOWN, 06470, CONNECTICUT |
Jurisdiction | NEW YORK |
County | PUTNAM |
Legal form | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |