| | Physician Last Name: | Mack |
| | Physician First Name: | Jeremy |
| | Physician Middle Name: | Roger |
| | Address: | 150 E.85th Street
New York, New York 10028 |
| | License Number: | 100528 |
| | License Type: | MD |
| | Year of Birth: |
1938
|
| | Effective Date: | 10/29/2003 |
| | Action Description for DOH Webpage: | Censure and reprimand and $2,500.fine.The physician has satisfied the terms of the order. |
| | Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been convicted in Criminal Court of the City of New York, New York County of offering a false instrument for filing. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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