1250 BROADWAY, NEW YORK, 10001, NEW YORK
					
				| Entity Name | IDA M. TIONGCO, M.D., P.C. | 
| Entity Number | 718929 | 
| Status | ACTIVE | 
| Incorporation Date | 26th August 1981 | 
| Dos Process Address | 20 WATERSIDE PLACE, NEW YORK, 10010, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | NEW YORK | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |