1115 FIFTH AVE., 5C, NEW YORK, 10028, NEW YORK
| Entity Name | GLENN W. JELKS, M.D., P.C. |
| Entity Number | 804257 |
| Status | ACTIVE |
| Incorporation Date | 23rd December 1982 |
| Dos Process Address | 875 PARK AVENUE, NEW YORK, 10075, NEW YORK |
| Jurisdiction | NEW YORK |
| County | NEW YORK |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |