| Physician Last Name: | Brooklyn Imaging |
| Physician First Name: | P.C. |
| Physician Middle Name: | |
| Address: | c/o The Corporation
50 Jericho Turnpike, Suite 201
Jericho, NY 11753 |
| License Number: | 116876 |
| License Type: | |
| Year of Birth: |
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| Effective Date: | 08/15/2007 |
| Action Description for DOH Webpage: | Revocation of certificate of incorporation. |
| Misconduct Description for DOH Webpage: | The corporation admitted to the charge of willfully failing to comply with Section 1503(a) of the Business Corporation Law in violation of New York State Education Law Section 6530(12). |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
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