| Physician Search | ||
| Physician Records |
| Physician Last Name: | Providence | |||
| Physician First Name: | Emanuel | |||
| Physician Middle Name: | Eitel | |||
| Address: | Address redacted | |||
| License Number: | 155818 | |||
| License Type: | MD | |||
| Year of Birth: | 1937 | |||
| Effective Date: | 04/04/2017 | |||
| Action Description for DOH Webpage: | License surrender. | |||
| Misconduct Description for DOH Webpage: | The physician admitted guilt to the charge of having committed professional misconduct by having been convicted in Kings County Criminal Court, State of New York, of Falsifying Business Records in the Second Degree. | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
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