90 STATE STREET, ALBANY, 12207, NEW YORK
| Entity Name | MEDICAL PROVIDER SERVICE, P.C. |
| Entity Number | 5245321 |
| Status | ACTIVE |
| Incorporation Date | 5th December 2017 |
| Dos Process Address | PO BOX 231, PETERSBURGH, 12138, NEW YORK |
| Jurisdiction | NEW YORK |
| County | RENSSELAER |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |