| | Physician Last Name: | Gupta |
| | Physician First Name: | Rom |
| | Physician Middle Name: | Mohan |
| | Address: | 173 West Penn Street
Long Beach, New York 11561 |
| | License Number: | 189770 |
| | License Type: | MD |
| | Year of Birth: |
1963
|
| | Effective Date: | 08/18/2006 |
| | Action Description for DOH Webpage: | License suspension for thirty-six months stayed with conditions and $!0,000.fine |
| | Misconduct Description for DOH Webpage: | The physician agreed he could not successfully defend against at least one of the charges of failing to comply with a law or regulation governing the practice of medicine and revealing information about a patient without the patient's prior consent. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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