19 HILLSIDE AVE, ROSLYN HTS, 11577, NEW YORK
					
				| Entity Name | RAGHAVA RAO POLAVARAPU, M.D., P.C. | 
| Entity Number | 610447 | 
| Status | ACTIVE | 
| Incorporation Date | 22nd February 1980 | 
| Dos Process Address | 240 WILLOUGHBY ST, BROOKLYN, 11201, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | KINGS | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |