| Physician Last Name: | Diego |
| Physician First Name: | Roque |
| Physician Middle Name: | |
| Address: | Graymanse
North Lake Boulevard
Mahopac, New York 10541 |
| License Number: | 102343 |
| License Type: | MD |
| Year of Birth: |
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| Effective Date: | 06/20/1997 |
| Action Description for DOH Webpage: | License surrender |
| Misconduct Description for DOH Webpage: | The physician did not contest the charges of failing to properly supervise a person, who was authorized to practice only under his supervision and delegating professional responsibilities to an unqualified person. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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