| | Physician Last Name: | Defazio |
| | Physician First Name: | John |
| | Physician Middle Name: | |
| | Address: | 935 Loer River Road
Youngstown, New York 14174 |
| | License Number: | 135125 |
| | License Type: | MD |
| | Year of Birth: |
1951
|
| | Effective Date: | 11/11/2003 |
| | Action Description for DOH Webpage: | The physician has permanently surrendered his license pursuant to New York State Public Health Law Section 230.13.This action is not disciplinary in nature. |
| | Misconduct Description for DOH Webpage: | This action is not disciplinary in nature. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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