| Physician Last Name: | Agustin |
| Physician First Name: | Erie |
| Physician Middle Name: | T. |
| Address: | 5801 Woodside Avenue, Suite 2,
Woodside, New York 11377 |
| License Number: | 196473 |
| License Type: | MD |
| Year of Birth: |
1956
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| Effective Date: | 10/18/2023 |
| Action Description for DOH Webpage: | License suspension for three years, stayed in full and the physician shall be placed on probation for three years with terms that include a practice monitor and Continuing Medical Education. |
| Misconduct Description for DOH Webpage: | The physician asserted they could not successfully defend against at least one act of misconduct alleged, in full satisfaction of the charges of misconduct, by practicing the profession of medicine with negligence on more than one occasion and failing to maintain accurate patient medical records regarding four patients. |
| License Limitations or Conditions for DOH Webpage: | During the period of probation the physician shall only practice medicine when their practice is being monitored by a licensed physician, board-certified in an appropriate specialty and must enroll in and successfully complete Continuing Medical Education approved by the Director of the Office of Professional Medical Conduct. |
| Board Order: |
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