| | Physician Last Name: | Haryadi |
| | Physician First Name: | Tirtandharyana |
| | Physician Middle Name: | |
| | Address: | 84 Sweeney Street
Apartment 223
North Tonawanda, New York 14120 |
| | License Number: | 129564 |
| | License Type: | MD |
| | Year of Birth: |
1945
|
| | Effective Date: | 08/15/1990 |
| | Action Description for DOH Webpage: | License revocation. |
| | Misconduct Description for DOH Webpage: | The New York State Board of Regents sustained the charge finding the physician guilty of having been convicted in New York State Supreme Court, Erie County of Sexual Abuse.On November 24, 2004 the New York State Board of Regents denied the physician's petition for the restoration of his New York State medical license. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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