39 BEDFORD AVE, NEW HYDE PARK, 11040-5142, NEW YORK
| Entity Name | ATHANASIOS MALLIOS, M.D., P.C. |
| Entity Number | 690022 |
| Status | ACTIVE |
| Incorporation Date | 2nd April 1981 |
| Dos Process Address | 125 EAST 69TH STREET, NEW YORK, 10021, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |