| | Physician Last Name: | Kosiborod |
| | Physician First Name: | Roman |
| | Physician Middle Name: | |
| | Address: | Address redacted |
| | License Number: | 221118 |
| | License Type: | DO |
| | Year of Birth: |
1966
|
| | Effective Date: | 02/28/2024 |
| | Action Description for DOH Webpage: | Censure and reprimand and $2,500 fine. The physician must update their New York State Physician Profile within thirty days of the effective date of this order and shall fully comply with the New Jersey State Board of Medical Examiners board order and any extension or modification thereof. |
| | Misconduct Description for DOH Webpage: | The physician did not contest the allegations, in full satisfaction of the charges of misconduct, by having been disciplined by the New Jersey Board of Medical Examiners for engaging in the use of dishonesty, fraud, deception, or misrepresentation. |
| | License Limitations or Conditions for DOH Webpage: | The physician must update their New York State Physician Profile within thirty days of the effective date of this order and shall fully comply with the New Jersey State Board of Medical Examiners board order and any extension or modification thereof. |
| | Board Order: |
|
