| | Physician Last Name: | Long Island Multi-Medicine Group |
| | Physician First Name: | P.C. |
| | Physician Middle Name: | |
| | Address: | c/o Wilfred Friedman, Esq.
Friedman and Mahdavian, P.C.
The Bar Building
Suite 816
36 West 44th Street
New York, New York 10036 |
| | License Number: | 176728 |
| | License Type: | |
| | Year of Birth: |
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| | Effective Date: | 01/06/2004 |
| | Action Description for DOH Webpage: | Revocation of certificate of incorporation |
| | Misconduct Description for DOH Webpage: | The corporation did not contest the charge of failing to post conspicuously at the site of its professional medical practice the name and licensure field of all of the principal licensees engaged in the practice at that site. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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