| | Physician Last Name: | McKenzie |
| | Physician First Name: | Theodore |
| | Physician Middle Name: | |
| | Address: | 38 Waterford Drive
Wheatley Heights, New York 11798 |
| | License Number: | 000116 |
| | License Type: | PA |
| | Year of Birth: |
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| | Effective Date: | 07/29/1997 |
| | Action Description for DOH Webpage: | License revocation. |
| | Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charge finding the physician assistant had been convicted in United States Court for the Southern District of New York of Conspiracy to Commit Mail Fraud. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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