| | Physician Last Name: | Jamaica Avenue Medical Services |
| | Physician First Name: | P.C. |
| | Physician Middle Name: | |
| | Address: | c/o Jay Fleischman
377 Broadway 8th Floor
New York, New York 10013 |
| | License Number: | 196731 |
| | License Type: | |
| | Year of Birth: |
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| | Effective Date: | 02/08/2001 |
| | Action Description for DOH Webpage: | Revocation of certificate of incorporation |
| | Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charge finding the corporation guilty of having been convicted in New York State Supreme Court,County of Kings of enterprise corruption and scheme to defraud. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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