| | Physician Last Name: | Trivisonno |
| | Physician First Name: | Dominick |
| | Physician Middle Name: | Peter |
| | Address: | 2793 Rickard Road
Skaneateles, New York 13152 |
| | License Number: | 173465 |
| | License Type: | MD |
| | Year of Birth: |
1955
|
| | Effective Date: | 08/11/2000 |
| | Action Description for DOH Webpage: | License suspension stayed with probation for five years.The physician had completed the term of probation on August 10, 2005. |
| | Misconduct Description for DOH Webpage: | This order stays the suspension effective September 23,1999 previously imposed by the Board for Professional Medical Conduct Order# 99-244, where the physician did not contest the charges of practicing fraudulently; being a habitual user of drugs and practicing while impaired by drugs, and places the physician on probation for five years. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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