Physician Misconduct and Physician Discipline

Physician Information

Physician Information

Physician Search
Physician Records

 Physician Last Name:


 Physician First Name:


 Physician Middle Name:


 Address:Address redacted
 License Number:009063
 License Type:PA
 Year of Birth: 1974
 Effective Date:09/05/2017
 Action Description for DOH Webpage:License limitation precluding the registration or issuance of any further New York State medical license.
 Misconduct Description for DOH Webpage:The physician assistant did not contest the charge of having committed professional misconduct by having been disciplined by the Medical Board of the State of California for the unlawful practice of medicine, gross negligence and repeated acts of negligence.
  License Restrictions for DOH Webpage:
 Board Order:
BRD 009063.pdf