145 DOSORIS LANE, GLEN COVE, 11542, NY
| Entity Name | BLAKE DIRCKSEN DPT, PT PLLC |
| Entity Number | 6429623 |
| Status | ACTIVE |
| Incorporation Date | 11th March 2022 |
| Dos Process Address | 225 EAST 83RD STREET, NEW YORK, 10028, NY |
| Jurisdiction | New York |
| County | New York |
| Legal form | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |