| Physician Last Name: | Premier Medical Care |
| Physician First Name: | P.C. |
| Physician Middle Name: | |
| Address: | 99 University Place
7th Floor
New York, New York 11201 |
| License Number: | 164820 |
| License Type: | |
| Year of Birth: |
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| Effective Date: | 07/03/2007 |
| Action Description for DOH Webpage: | Revocation of Certificate of Incorporation. |
| Misconduct Description for DOH Webpage: | The corporation failed to comply with sections fifteen hundred three and fifteen hundred fourteen of the business corporation law. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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