| Street | 158 Margin Dr W | ||
| City/Town | Shirley | ||
| State/Province/Region | New York | ||
| Zip/Postal Code | 11967 | ||
| Phone Number | (631) 281-1888 | ||
| Country | United States |
| Full Name | Dr. Cleve Pfeffer | ||
| Gender | male | ||
| Birthday | 1986-07-28 | ||
| Social Security Number | 308-37-3181 |
| Credit card brand | Unionpay | ||
| Credit card number | 6210930490266997 | ||
| Expire | 2031/12 | ||
| CVV | 909 |