302 W 102ND STREET, NEW YORK, 10025-4994, NEW YORK
					
				| Entity Name | LOUISE P. WALK, PHYSICIAN, P.C. | 
| Entity Number | 809024 | 
| Status | ACTIVE | 
| Incorporation Date | 7th December 1982 | 
| Dos Process Address | 286 SILLS ROAD, EAST PATCHOGUE, 11772, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | SUFFOLK | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |