| | Physician Last Name: | O'Keefe |
| | Physician First Name: | Timothy |
| | Physician Middle Name: | J |
| | Address: | 1513 Lake Road
Youngstown, New York 14174 |
| | License Number: | 211648 |
| | License Type: | MD |
| | Year of Birth: |
1969
|
| | Effective Date: | 12/28/2004 |
| | Action Description for DOH Webpage: | The physician agrees to never reactivate his New York State medical license registration or to reapply for a medical license to practice medicine in New York State.This is a modification of the BPMC Order#03-174 previously effective July 14, 2003 and does not constitute a new disciplinary action. |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charges of being a habitual user of narcotics and having filed a false report. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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