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 Physician Last Name:


 Physician First Name:


 Physician Middle Name:


 Address:40-23A Junction Blvd, 2nd Floor Corona, NY 11368
 License Number:193456
 License Type:MD
 Year of Birth: 1945
 Effective Date:10/06/2010
 Action Description for DOH Webpage:$1,000 fine. The physician completed the terms of his order effective January 26, 2011.Later on December 29, 2016 the physician's New York State medical license was suspended for six months.
 Misconduct Description for DOH Webpage:The physician did not contest the charge of having been disciplined by the New Jersey State Board of Medical Examiners for practicing medicine without a valid medical license and without malpractice insurance and for filing a false report to the New York State Education Department.
  License Restrictions for DOH Webpage:
 Board Order:
BRD 193456.pdf