| | Physician Last Name: | Novins |
| | Physician First Name: | Jay |
| | Physician Middle Name: | R |
| | Address: | 15 Western Drive
Ardsley, New York 10502 |
| | License Number: | 084202 |
| | License Type: | MD |
| | Year of Birth: |
1934
|
| | Effective Date: | 03/30/2005 |
| | Action Description for DOH Webpage: | Permanent surrender of the physician's New York State medical license pursuant to New York State Public Health Law Section 230.13.This change in 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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