| | Physician Last Name: | Mallo |
| | Physician First Name: | Charles |
| | Physician Middle Name: | Joseph |
| | Address: | 2312 East River Road
Grand Island, New York 14072 |
| | License Number: | 132331 |
| | License Type: | MD |
| | Year of Birth: |
1946
|
| | Effective Date: | 05/24/2017 |
| | Action Description for DOH Webpage: | This modification eliminates the requirement to maintain his New York State license registration and precludes the physician from practicing medicine in New York State and from practicing in any setting where his practice is based solely on his New York State medical license. The physician is also precluded from further reliance upon his New York State license to practice medicine to exempt him from the licensure, certification or other requirements set forth in statute or regulation for the practice of any other profession licensed, regulated or certified by the New York State Board of Regents, New York State Department of Education, New York State Department of Health or the New York State Department of State. |
| | Misconduct Description for DOH Webpage: | This order is a modification of the terms previously imposed on July 14, 2005 under BPMC# 05-135 and does not constitute a new disciplinary action. Previously, the physician had not contested the charge of failing to maintain accurate records. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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