Physician Misconduct and Physician Discipline

Physician Information

Physician Information

Physician Search
Physician Records

 Physician Last Name:


 Physician First Name:


 Physician Middle Name:


 Address:75 Crystal Run Road Suite 125 Middletown, New York 10941
 License Number:234957
 License Type:MD
 Year of Birth: 1960
 Effective Date:09/07/2017
 Action Description for DOH Webpage:License surrender.
 Misconduct Description for DOH Webpage:The physician did not contest the charge of having committed professional misconduct by practicing the profession of medicine with gross negligence; negligence on more than one occasion and failing to maintain accurate patient medical records.
  License Restrictions for DOH Webpage:
 Board Order:
BRD 234957.pdf