| Physician Last Name: | Reza |
| Physician First Name: | Robert |
| Physician Middle Name: | |
| Address: | Inmate 92A9612
Ossining Correctional Facility
354 Hunter Street
Ossining, New York 10562 |
| License Number: | 106105 |
| License Type: | MD |
| Year of Birth: |
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| Effective Date: | 05/14/1993 |
| Action Description for DOH Webpage: | License surrender |
| Misconduct Description for DOH Webpage: | The physician admitted to having been convicted in New York State Supreme Court,Suffolk County of Murder in the Second Degree. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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