| | Physician Last Name: | Festus |
| | Physician First Name: | Edward |
| | Physician Middle Name: | |
| | Address: | 8209 Roosevelt Avenue
Second Floor
Jackson Heights, NY 11372 |
| | License Number: | 004555 |
| | License Type: | PA |
| | Year of Birth: |
1957
|
| | Effective Date: | 03/29/2012 |
| | Action Description for DOH Webpage: | License revocation. |
| | Misconduct Description for DOH Webpage: | The Review Board affirmed the Hearing Committee's November 29, 2011 determination and penalty finding the physician assistant guilty of fraudulent practice and practicing or offering to practice beyond the scope permitted by law. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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