DR. JESSE A. STOFF MEDICAL, PC
Marriage and Family Therapists at Rockaway Beach Blvd, Far Rockaway, NY

License number
New York 150519
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: JESSE ANDREW STOFF
Title: MD/OWNER
Phone: (718) 318-6554
Address
Address
86-24 Rockaway Beach Blvd, Far Rockaway, NY 11693
National Provider ID: 1124271309
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. JESSE A. STOFF MEDICAL, PC

86-24 Rockaway Bch Blvd, Far Rockaway, NY 11693

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Oct 3, 2008
Inactive since:
Oct 26, 2011
State ID:
3728517
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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