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 Physician Last Name:Quality Medical Health Care Provider
 Physician First Name:P.C.
 Physician Middle Name:
 Address:350 Jericho Turnpike Suite 104 Jericho, NY 11753
 License Number:119256
 License Type:
 Year of Birth:
 Effective Date:02/07/2011
 Action Description for DOH Webpage:Annulment of the corporation's certificate of incorporation.
 Misconduct Description for DOH Webpage:The corporation admitted to the charge of failing to comply with the requirements of the New York State Business Corporation Law.
  License Limitations or Conditions for DOH Webpage:
 Board Order:
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BRD Quality Medical Healthcare Provider, P.C..pdf