| | Physician Last Name: | MNM Medical Care |
| | Physician First Name: | P.C. |
| | Physician Middle Name: | |
| | Address: | 172 Flatbush Avenue
Brooklyn, New York |
| | License Number: | 187870 |
| | License Type: | |
| | Year of Birth: |
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| | Effective Date: | 10/24/2007 |
| | Action Description for DOH Webpage: | Annulment of the certificate of incorporation |
| | Misconduct Description for DOH Webpage: | The Hearing Committee found the corporation guilty of failing to comply with New York State Business Corporation Law Section 1503. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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