135-02 ROCKAWAY BLVD, SOUTH OZONE PARK, 11420, NY
| Entity Name | TARA KRISHNASASTRY, PHYSICIAN ASSISTANT, P.C. |
| Entity Number | 7006565 |
| Status | ACTIVE |
| Incorporation Date | 16th August 2023 |
| Dos Process Address | 112-20 72nd Drive, Forest Hills, 11375, NY |
| Jurisdiction | New York |
| County | Queens |
| Legal form | DOMESTIC PROFESSIONAL SERVICE CORPORATION |