| | Physician Last Name: | Bornstein |
| | Physician First Name: | Martha |
| | Physician Middle Name: | V |
| | Address: | 25 Clover Hills Drive
Rochester, New York 14618 |
| | License Number: | 216324 |
| | License Type: | MD |
| | Year of Birth: |
1958
|
| | Effective Date: | 08/26/2004 |
| | Action Description for DOH Webpage: | Temporary surrender of New York State medical license pursuant to New York State Public Health Law Section 230.13.The physician's medical license is currently inactive. This change in medical license status is not disciplinary in nature. |
| | 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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