388 BROADWAY, 1/B, NEW YORK, 10013, NEW YORK
Entity Name | TARA DEITRICK, CERTIFIED REGISTERED NURSE ANESTHETIST, P.C. |
Entity Number | 5201720 |
Status | ACTIVE |
Incorporation Date | 13th September 2017 |
Dos Process Address | 17 KENWOOD RD., GARDEN CITY, 11530, NEW YORK |
Jurisdiction | NEW YORK |
County | SUFFOLK |
Legal form | DOMESTIC PROFESSIONAL CORPORATION |