| | Physician Last Name: | Milan Medical |
| | Physician First Name: | P.C. |
| | Physician Middle Name: | |
| | Address: | 401 76th Street
Room H-1
Brooklyn, NY 11209 |
| | License Number: | 201502 |
| | License Type: | |
| | Year of Birth: |
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| | Effective Date: | 04/26/2011 |
| | Action Description for DOH Webpage: | Revocation of the certificate of incorporation. |
| | Misconduct Description for DOH Webpage: | The corporation agreed to the revocation of it's certificate of corporation due to having been convicted in New York State Supreme Court, Queens County, New York of insurance fraud. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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