| | Physician Last Name: | Fellers |
| | Physician First Name: | Jonathan |
| | Physician Middle Name: | |
| | Address: | 353 East 17th Street
Apartment 24E
New York, New York 10003 |
| | License Number: | None |
| | License Type: | MD |
| | Year of Birth: |
1975
|
| | Effective Date: | 11/10/2006 |
| | Action Description for DOH Webpage: | The physician's privilege to seek a license to practice medicine in New York State has been restored subject to conditions.
Previously on June 5, 2004 the physician had temporarily surrendered his privilege to seek a license to practice medicine in New York State. |
| | 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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