584 RTE 104, ONTARIO, 14519, NEW YORK
| Entity Name | JEROME L. SHUPACK M.D., P.C. |
| Entity Number | 793318 |
| Status | ACTIVE |
| Incorporation Date | 16th September 1982 |
| Dos Process Address | 233 BROADWAY, NEW YORK, 10279, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |