279 C SKIDMORE'S ROAD, DEER PARK, 11729, NEW YORK
| Entity Name | THEODORE N. ISSEKS, M.D., P.C. |
| Entity Number | 584812 |
| Status | ACTIVE |
| Incorporation Date | 1st October 1979 |
| Dos Process Address | 8 SWAN LAKE ROAD, LIBERTY, 12754, NEW YORK |
| Jurisdiction | NEW YORK |
| County | SULLIVAN |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |