1641 BELLMORE RD, BELLMORE, 11710, NEW YORK
					
				| Entity Name | MAYER BALLAS, MD, P.C. | 
| Entity Number | 938261 | 
| Status | ACTIVE | 
| Incorporation Date | 21st August 1984 | 
| Dos Process Address | 110-45 QUEENS BOULEVARD, FOREST HILLS, 11375, NEW YORK | 
| Jurisdiction | NEW YORK | 
| County | QUEENS | 
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |