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| Physician Records |
| Physician Last Name: | Lisnyczyj | |||||
| Physician First Name: | Nicholas | |||||
| Physician Middle Name: | ||||||
| Address: | Address redacted | |||||
| License Number: | 164623 | |||||
| License Type: | MD | |||||
| Year of Birth: | 1958 | |||||
| Effective Date: | 05/11/2005 | |||||
| Action Description for DOH Webpage: | License surrender | |||||
| Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been convicted in Court of Common Pleas of Lackawanna County, Pennsylvania of Delivery by a Practitioner; Delivery of a controlled substance to a Drug Dependent Person and Insurance Fraud. On November 23, 2015 the New York State Education Department Board of Regents denied the physician's petition for the restoration of his New York State medical license. | |||||
| License Limitations or Conditions for DOH Webpage: | ||||||
| Board Order: |
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