| | Physician Last Name: | Goldenheim |
| | Physician First Name: | Paul |
| | Physician Middle Name: | David |
| | Address: | Address Redacted |
| | License Number: | 172942 |
| | License Type: | MD |
| | Year of Birth: |
1950
|
| | Effective Date: | 04/10/2017 |
| | Action Description for DOH Webpage: | The physician’s New York State medical license is surrendered and precludes the physician from practicing medicine in New York State. This modification order as of April 10, 2017 releases the physician from the requirement that he must register, continue to register and pay all registration fees. Previously the physician was subject to a censure and reprimand with a $2,500 fine.The fine was paid on October 6, 2011. |
| | Misconduct Description for DOH Webpage: | This order is a modification of the terms previously imposed by the New York State Board for Professional Medical Conduct in Order# BPMC 11-220 on September 21, 2011 and does not constitute a new disciplinary action. Previously the physician had not contested the charge of having been convicted in United States District Court, Western District of Virginia, of misbranding a drug. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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