| | Physician Last Name: | Poulose |
| | Physician First Name: | Jose |
| | Physician Middle Name: | M |
| | Address: | 99 Hillside Avenue, Suite D
Williston Park, NY 11596 |
| | License Number: | 225615 |
| | License Type: | MD |
| | Year of Birth: |
1966
|
| | Effective Date: | 11/08/2011 |
| | Action Description for DOH Webpage: | License revocation. |
| | Misconduct Description for DOH Webpage: | The Review Board affirmed The Hearing Committee's August 22, 2011 determination finding the physician guilty of having been convicted in the New York State Supreme Court of attempted disseminating indecent material to minors. The Review Board overturned the Hearing Committee's penalty and revoked the physician's license. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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