| | Physician Last Name: | Oncological Associates |
| | Physician First Name: | P.C. |
| | Physician Middle Name: | |
| | Address: | c/o Peter Birzon and Associates
350 Jericho Turnpike
Suite 104
Jericho, New York 11753 |
| | License Number: | 110016 |
| | License Type: | |
| | Year of Birth: |
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| | Effective Date: | 08/21/2002 |
| | Action Description for DOH Webpage: | Revocation of Certificate of Incorporation |
| | Misconduct Description for DOH Webpage: | The corporation does not contest the charge of failing to respond within thirity days to written communications from the New York State Department of Health |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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