366 NORTH BROADWAY, JERICHO, 11753, NEW YORK
| Entity Name | BERTRAM A. PORTIN, M.D., P.C. |
| Entity Number | 541829 |
| Status | ACTIVE |
| Incorporation Date | 1st March 1979 |
| Dos Process Address | 1616 KENSINGTON AVENUE, BUFFALO, 14215, NEW YORK |
| Jurisdiction | NEW YORK |
| County | ERIE |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |