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Physician Last Name: | Mossey | |
Physician First Name: | Robert | |
Physician Middle Name: | Thomas | |
Address: | 57 Avalon Circle Smithtown, New York 11787 | |
License Number: | 106589 | |
License Type: | MD | |
Year of Birth: | 1944 | |
Effective Date: | 02/15/2008 | |
Action Description for DOH Webpage: | Permanent license surrender issued pursuant to New York State Public Health Law Section 230.13 | |
Misconduct Description for DOH Webpage: | This action is not disciplinary in nature. | |
License Limitations or Conditions for DOH Webpage: | ||
Board Order: |
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