| | Physician Last Name: | Empire State Diagnostics |
| | Physician First Name: | P.C. |
| | Physician Middle Name: | |
| | Address: | 274 Madison Avenue
Suite 1304
New York, New York 10016 |
| | License Number: | 229319 |
| | License Type: | |
| | Year of Birth: |
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| | Effective Date: | 10/25/2007 |
| | Action Description for DOH Webpage: | Annulment of certificate of incorporation |
| | Misconduct Description for DOH Webpage: | The corporation did not contest the charge 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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