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Physician Last Name: | Debbi | |||
Physician First Name: | Shaul | |||
Physician Middle Name: | ||||
Address: | 70 Candy Lane Great Neck, New York 11023 | |||
License Number: | 178696 | |||
License Type: | MD | |||
Year of Birth: | 1954 | |||
Effective Date: | 05/26/2003 | |||
Action Description for DOH Webpage: | License surrender | |||
Misconduct Description for DOH Webpage: | The physician did not contest the charge of practicing fraudulently. | |||
License Limitations or Conditions for DOH Webpage: | ||||
Board Order: |
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