27 LEWIS LN, SYOSSET, 11791, NEW YORK
Entity Name | JERRY G. BLAIVAS, M.D., P.C. |
Entity Number | 863642 |
Status | ACTIVE |
Incorporation Date | 24th August 1983 |
Dos Process Address | 445 EAST 77TH STREET, NEW YORK, 10075, NEW YORK |
Jurisdiction | NEW YORK |
County | NEW YORK |
Legal form | DOMESTIC PROFESSIONAL CORPORATION |