| | Physician Last Name: | Bloom |
| | Physician First Name: | William |
| | Physician Middle Name: | |
| | Address: | 75 Shore Lane
Bayside, New York 11706 |
| | License Number: | 049528 |
| | License Type: | MD |
| | Year of Birth: |
1926
|
| | Effective Date: | 11/25/2003 |
| | Action Description for DOH Webpage: | Permanent license restriction prohibiting the physician from registering his New York State medical license to practice medicine. |
| | Misconduct Description for DOH Webpage: | The Hearing Committee sustained the charges finding the physician guilty of the charges of having violated a condition previously imposed on his New York State medical license and filing a false report. |
| | License Limitations or Conditions for DOH Webpage: | Permanent license restriction prohibiting the physician from registering his New York State medical license to practice medicine |
| | Board Order: |
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