894 BARD AVENUE, STATEN ISLAND, 10301-3321, NEW YORK
					
				| Entity Name | SPENCER F. DUBOV DPM, P.C. | 
| Entity Number | 666651 | 
| Status | ACTIVE | 
| Incorporation Date | 1st December 1980 | 
| Dos Process Address | 69-20 MAIN STREET, KEW GARDENS HILLS, 11367, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | SUFFOLK | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |