6 GRACE AVE. SUITE# 301, GREAT NECK, 11021, NEW YORK
					
				| Entity Name | JOSEPHEENA JACOB, M.D., P.C. | 
| Entity Number | 5533245 | 
| Status | ACTIVE | 
| Incorporation Date | 12th April 2019 | 
| Dos Process Address | 274 JERICHO TPKE., FLORAL PARK, 11001, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NASSAU | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |