| | Physician Last Name: | Infinity Medical |
| | Physician First Name: | P.C. |
| | Physician Middle Name: | |
| | Address: | C/O Harry Montazem, M.D.
11 Cabernet Court
Coram, New York 11727 |
| | License Number: | 103095 |
| | License Type: | |
| | Year of Birth: |
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| | Effective Date: | 12/20/2002 |
| | Action Description for DOH Webpage: | Annulment of Certificate of Incorporation |
| | Misconduct Description for DOH Webpage: | The corporation did not contest the charge of failing to comply with Section 1503 of the New York State Business Corporation Law. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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