| | Physician Last Name: | Brooklyn Health Medical Group |
| | Physician First Name: | P.C. |
| | Physician Middle Name: | |
| | Address: | Address redacted |
| | License Number: | 139433 |
| | License Type: | |
| | Year of Birth: |
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| | Effective Date: | 07/09/2001 |
| | Action Description for DOH Webpage: | Revocation of certificate of incorporation. |
| | Misconduct Description for DOH Webpage: | The corporation did not contest the charge of failing to exercise appropriate supervision over persons,who are authorized to practice only under the supervision of a licensed physician. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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