| | Physician Last Name: | Mirilashvili |
| | Physician First Name: | Moshe |
| | Physician Middle Name: | |
| | Address: | 600 Pine Hollow Road
Apartment 2-2B
East Norwich, New York 11732 |
| | License Number: | 168778 |
| | License Type: | MD |
| | Year of Birth: |
1948
|
| | Effective Date: | 12/23/2003 |
| | Action Description for DOH Webpage: | License revocation,stayed with probation for five years. The physician completed the term of probation on December 30, 2010. Later, on June 8, 2017 the Hearing Committee sustained the charges finding the physician guilty of committing professional misconduct by having been convicted in the United States District Court, Southern District of New York of Conspiracy to Distribute Narcotics and Distribution and Possession with Intent to Distribute a Controlled Substance and revoked the physician's New York State medical license. |
| | Misconduct Description for DOH Webpage: | The New York State Board of Regents stayed the June 24, 1996 revocation of the physician's medical license and placed the physician on probation for five years.Previously the Review Board sustained the Hearing Committee's February 2, 1996 penalty and determination finding the physician was disqualified from the New York State Medicaid Program for submitting false claims; practiced with gross negligence and negligence on more than one occasion and failed to maintain accurate patient records. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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