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Physician Last Name: | Basak | |||
Physician First Name: | Bijan | |||
Physician Middle Name: | ||||
Address: | 9 Wyndshire Lane Rochester, New York 14626 | |||
License Number: | 101352 | |||
License Type: | MD | |||
Year of Birth: | ||||
Effective Date: | 12/31/1997 | |||
Action Description for DOH Webpage: | License surrender | |||
Misconduct Description for DOH Webpage: | The physician did not contest the charge of gross negligence. | |||
License Limitations or Conditions for DOH Webpage: | ||||
Board Order: |
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