city medical of lake grove, pLLC

336 e. 86th street
new york, new york 10028

NYS Entity Status
ACTIVE

NYS Filing Date
NOVEMBER 22, 2013

NYS DOS ID#
4491192

County
NEW YORK

Jurisdiction
NEW YORK

Registered Agent
RICHARD PARK, M.D.
26 PARK PLACE
ROSALYN HEIGHTS, NEW YORK, 11577

NYS Entity Type
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

Name History
2013 - CITY MEDICAL OF LAKE GROVE, PLLC









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