| | Physician Last Name: | Brancato |
| | Physician First Name: | Jason |
| | Physician Middle Name: | |
| | Address: | 365 Broadway, Suite 1,
Amityville, N.Y 11701 |
| | License Number: | 012564 |
| | License Type: | PA |
| | Year of Birth: |
1973
|
| | Effective Date: | 06/05/2019 |
| | Action Description for DOH Webpage: | This action is not disciplinary in nature. The physician assistant remains precluded from treating or prescribing any controlled or non-controlled substances for himself, family members, personal friends or persons with whom he is in a professional relationship. The period of monitoring has ended April 10, 2021, and he previously completed the Clinical Competency Assessment but remains subject to the permanent treating and prescribing conditions of the board order. |
| | Misconduct Description for DOH Webpage: | This order is a modification of the terms and conditions previously imposed under BPMC# 18-076 effective April 10, 2018 and does not constitute a new disciplinary action. |
| | License Limitations or Conditions for DOH Webpage: | The physician assistant is precluded from treating or prescribing any controlled or non-controlled substances for himself, family members, personal friends or persons with whom he is in a professional relationship. |
| | Board Order: |
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