| | Physician Last Name: | Goswami |
| | Physician First Name: | Suryabala |
| | Physician Middle Name: | |
| | Address: | 235 East 40th Street
Apartment 32A
New York, New York 10016 |
| | License Number: | 141490 |
| | License Type: | MD |
| | Year of Birth: |
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| | Effective Date: | 06/06/1997 |
| | Action Description for DOH Webpage: | License surrender |
| | Misconduct Description for DOH Webpage: | The physician admitted to having been convicted in the Supreme Court of the State of New York, County of New York of Insurance Fraud. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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