18 HANS BLVD, LAKE RONKONKOMA, 11779, NEW YORK
Entity Name | SUSAN S. BLUM, M.D., M.P.H., P.C. |
Entity Number | 2679342 |
Status | ACTIVE |
Incorporation Date | 11th September 2001 |
Dos Process Address | 1241 MAMARONECK AVE, WHITE PLAINS, 10605, NEW YORK |
Jurisdiction | NEW YORK |
County | WESTCHESTER |
Legal form | DOMESTIC PROFESSIONAL CORPORATION |