| Physician Last Name: | SVS Wellcare Medical |
| Physician First Name: | PLLC |
| Physician Middle Name: | |
| Address: | 7616 Bay Parkway, 1st Floor
Brooklyn, New York 11214 |
| License Number: | 186334 |
| License Type: | |
| Year of Birth: |
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| Effective Date: | 01/27/2015 |
| Action Description for DOH Webpage: | Annulment of certificate of incorporation pursuant to Section 230-A of the New York State Public Health Law and Section 1203(d) of the New York State Business Corporation Law. |
| Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charges finding the corporation guilty of practicing the profession fraudulently; failing to comply with provisions of the New York State Business Corporation Law and willfully making a false report. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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