24490 Sanford Corners Road, Calcium, 13616, NY
					
				| Entity Name | MATTHEW BUSHMAN M.D. PLLC | 
| Entity Number | 6676472 | 
| Status | ACTIVE | 
| Incorporation Date | 23rd December 2022 | 
| Dos Process Address | 1107 prospect ave., apt. 1b, BROOKLYN, 11218, NY | 
| Jurisdiction | New York | 
| County | Kings | 
| Legal form | DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY |