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Physician Last Name: | Fuentes | |||
Physician First Name: | Evangelo | |||
Physician Middle Name: | Esteban | |||
Address: | 536 East 82nd Street New York, New York 10028 | |||
License Number: | 189725 | |||
License Type: | MD | |||
Year of Birth: | 1959 | |||
Effective Date: | 08/16/2005 | |||
Action Description for DOH Webpage: | License surrender | |||
Misconduct Description for DOH Webpage: | The physician did not contest the charge of willfully harassing, abusing or intimidating a patient. | |||
License Limitations or Conditions for DOH Webpage: | ||||
Board Order: |
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