| | Physician Last Name: | Stefan |
| | Physician First Name: | Charles |
| | Physician Middle Name: | P. |
| | Address: | Address redacted |
| | License Number: | 008634 |
| | License Type: | PA |
| | Year of Birth: |
1965
|
| | Effective Date: | 03/30/2021 |
| | Action Description for DOH Webpage: | Temporary surrender of the physician assistant’s New York State medical license issued pursuant to New York State Public Health Law Section 230.13. |
| | Misconduct Description for DOH Webpage: | This action is not disciplinary in nature. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
