| Physician Last Name: | Uphill Medical Associate |
| Physician First Name: | P.C. |
| Physician Middle Name: | |
| Address: | P.O.Box 537
North Tonawanda, New York 14120 |
| License Number: | 209333 |
| License Type: | |
| Year of Birth: |
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| Effective Date: | 06/22/2004 |
| Action Description for DOH Webpage: | Revocation of certificate of corporation. |
| Misconduct Description for DOH Webpage: | The corporation did not contest the charge of having been convicted in United States District Court, Western District of New York of filing False Claims Against the United States. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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