Physician Misconduct and Physician Discipline

Physician Information

Physician Information

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Physician Records

 Physician Last Name:


 Physician First Name:


 Physician Middle Name:


 Address:240 Patchogue Yaphank Road Suite 211 Patchogue, NY 11772
 License Number:012592
 License Type:PA
 Year of Birth: 1983
 Effective Date:04/09/2013
 Action Description for DOH Webpage:The physician's assistant's stayed license suspension is terminated and her probation is terminated effective April 9, 2013.
 Misconduct Description for DOH Webpage:This order is a modification of the terms previously imposed on November 4, 2010 and does not constitute a new disciplinary action. Previously the physician assistant did not contest the charge of having been disciplined by the Massachusetts State Board of Registration of Physician Assistants for gross misconduct and practicing without the required physician supervision.
  License Restrictions for DOH Webpage:
 Board Order:
BRD 012592.pdf
BRD 012592.pdf