3865 BAYBERRY LANE, SEAFORD, 11783-1504, NEW YORK
| Entity Name | EDWARD C. TANNER, M.D., P.C. |
| Entity Number | 779143 |
| Status | ACTIVE |
| Incorporation Date | 29th June 1982 |
| Dos Process Address | 1445 PORTLAND AVE., ROCHESTER, 14621, NEW YORK |
| Jurisdiction | NEW YORK |
| County | MONROE |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |