| | Physician Last Name: | Islip Medical and Health Office |
| | Physician First Name: | P.C. |
| | Physician Middle Name: | |
| | Address: | c/o Alan R. Cohen, M.D.
67 Cherry Street
Milford, Connecticut 06460 |
| | License Number: | 146381 |
| | License Type: | |
| | Year of Birth: |
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| | Effective Date: | 09/12/2002 |
| | Action Description for DOH Webpage: | Revocation of Certificate of Incorporation |
| | Misconduct Description for DOH Webpage: | The corporation admitted to the charge of receiving or agreeing to receive a fee or consideration from a third party in connection with the performance of professional services. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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