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Physician Records |
Physician Last Name: | Cohen | |||
Physician First Name: | Gary | |||
Physician Middle Name: | F | |||
Address: | 515 Route 111 Smithtown, New York 11787 | |||
License Number: | 124391 | |||
License Type: | DO | |||
Year of Birth: | 1940 | |||
Effective Date: | 12/12/1990 | |||
Action Description for DOH Webpage: | License surrender | |||
Misconduct Description for DOH Webpage: | The physician admitted to the charge of practicing fraudulently. | |||
License Limitations or Conditions for DOH Webpage: | ||||
Board Order: |
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