2 NORTH AVENUE WEST, SUITE 301, CRANFORD, 07016, NEW JERSEY
| Entity Name | LISA WILKS-GALLO, M.D., P.C. |
| Entity Number | 5375057 |
| Status | ACTIVE |
| Incorporation Date | 13th July 2018 |
| Dos Process Address | 50 BONAIRE DRIVE, DIX HILLS, 11746, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SUFFOLK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |