| | Physician Last Name: | Bay Imaging |
| | Physician First Name: | P.C. |
| | Physician Middle Name: | |
| | Address: | 1620 Caton Avenue
9201 4th Avenue
2626 East 14th Street
Brooklyn, New York |
| | License Number: | 171144 |
| | License Type: | |
| | Year of Birth: |
|
| | Effective Date: | 10/22/2007 |
| | Action Description for DOH Webpage: | Revocation of certificate of incorporation |
| | Misconduct Description for DOH Webpage: | The Hearing Committee revoked the certificate of incorporation pursuant to Section 1503 of the Business Corporation Law. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
