500 7th avenue, floor 12, NEW YORK, 10018, NY
					
				| Entity Name | AHMAD LATEFI, DO, PLLC | 
| Entity Number | 6468623 | 
| Status | ACTIVE | 
| Incorporation Date | 26th April 2022 | 
| Dos Process Address | 1175 MONTAUK HWY., WEST ISLIP, 11795, NY | 
| Jurisdiction | New York | 
| County | Suffolk | 
| Legal form | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |