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:135464
 License Type:MD
 Year of Birth: 1947
 Effective Date:09/11/2017
 Action Description for DOH Webpage:Permanent license surrender issued pursuant to New York State Public Health Law Section 230.13.
 Misconduct Description for DOH Webpage:This action is not disciplinary in nature.
  License Restrictions for DOH Webpage:
 Board Order: