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Physician Records |
Physician Last Name: | Bonanno | |||||||
Physician First Name: | Matthew | |||||||
Physician Middle Name: | J. | |||||||
Address: | Address redacted | |||||||
License Number: | 228731 | |||||||
License Type: | MD | |||||||
Year of Birth: | 1972 | |||||||
Effective Date: | 11/16/2021 | |||||||
Action Description for DOH Webpage: | License surrender. | |||||||
Misconduct Description for DOH Webpage: | The physician did not contest the charge of committing professional misconduct by having been convicted in the Supreme Court of the State of New York, County of Nassau, of Criminal Possession of a Firearm, a felony. Previously on November 15, 2019 the physician was subject to an Interim Non-Disciplinary Order of Conditions. | |||||||
License Limitations or Conditions for DOH Webpage: | ||||||||
Board Order: |
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