| | Physician Last Name: | Coughlin, Jr. |
| | Physician First Name: | Thomas |
| | Physician Middle Name: | R. |
| | Address: | Address redacted |
| | License Number: | 246830 |
| | License Type: | MD |
| | Year of Birth: |
1949
|
| | Effective Date: | 12/14/2020 |
| | Action Description for DOH Webpage: | License Surrender. This order is a modification of the terms and conditions previously imposed under BPMC # 20-259 that went into effect October 14, 2020 and allows the physician to surrender his New York State license, requires him to adhere to the requirements for closing a medical practice, and releases him from all other terms and conditions of the original Board Action. |
| | Misconduct Description for DOH Webpage: | This order is a modification of the terms previously imposed under BPMC # 20-259 that went into effect October 14, 2020 and does not constitute a new disciplinary action. The physician did not contest the charge of committing professional misconduct by practicing the profession of medicine with negligence on more than one occasion and failing to maintain accurate medical records. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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