454 WILLOW STREET, LOCKPORT, 14094, NEW YORK
| Entity Name | KURT T. BENHAM, M.D., P.C. |
| Entity Number | 651754 |
| Status | ACTIVE |
| Incorporation Date | 19th September 1980 |
| Dos Process Address | 12 MARTIN ST, WELLSVILLE, 14895, NEW YORK |
| Jurisdiction | NEW YORK |
| County | ALLEGANY |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |