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| Physician Records |
| Physician Last Name: | Elm Neurological Care | |||
| Physician First Name: | P.C. | |||
| Physician Middle Name: | ||||
| Address: | 19 Beverly Road Great Neck, New York 11021 | |||
| License Number: | 196275 | |||
| License Type: | ||||
| Year of Birth: | ||||
| Effective Date: | 12/19/2003 | |||
| Action Description for DOH Webpage: | Revocation of Certificate of Incorporation | |||
| Misconduct Description for DOH Webpage: | The corporation admitted guilt to the charge of failing to maintain a record. | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
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