| | Physician Last Name: | Astor Medical |
| | Physician First Name: | P.C. |
| | Physician Middle Name: | |
| | Address: | C/O
300 E. 40th Street
Suite 18K
New York, New York 10016 |
| | License Number: | 206480 |
| | License Type: | |
| | Year of Birth: |
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| | Effective Date: | 07/09/2007 |
| | Action Description for DOH Webpage: | Revocation of certificate of incorporation |
| | Misconduct Description for DOH Webpage: | The respondent did not contest the charge of failing to be in compliance with Section 1503 of the New York State Business Corporation Law. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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