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Physician Last Name: | Goiricelaya | |
Physician First Name: | Pedro | |
Physician Middle Name: | D | |
Address: | 9317 Roosevelt Avenue Jackson Height, NY 11373 | |
License Number: | 098245 | |
License Type: | MD | |
Year of Birth: | 1934 | |
Effective Date: | 06/24/2011 | |
Action Description for DOH Webpage: | Permanent license surrender issued pursuant to New York State Public Health Law Section 230.13 | |
Misconduct Description for DOH Webpage: | This action is not disciplinary in nature. | |
License Limitations or Conditions for DOH Webpage: | ||
Board Order: |
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