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This document serves as a Consent Order detailing the disciplinary actions against Dr. Gaston DaCosta by the New York State Board for Professional Medical Conduct. It outlines the charges of professional
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How to fill out New York State Board for Professional Medical Conduct Order

01
Obtain the New York State Board for Professional Medical Conduct Order form from the official website or office.
02
Read the instructions carefully to understand the requirements.
03
Fill in the date at the top of the form.
04
Provide your personal information, including your full name, address, and contact details.
05
Enter your medical license number and any relevant identification numbers.
06
Detail the nature of the order, including any specific incidents or concerns.
07
Include any supporting documentation that may be required.
08
Review the completed form for accuracy and completeness.
09
Sign and date the form at the bottom where indicated.
10
Submit the form to the appropriate office as per the instructions provided.

Who needs New York State Board for Professional Medical Conduct Order?

01
Medical professionals practicing in New York State who have received a complaint or are under investigation.
02
Individuals whose medical licenses are under review or require action by the Board.
03
Practitioners who need to respond to disciplinary actions or orders affecting their practice.
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Engaging in acts of gross incompetence or gross negligence on a single occasion, or negligence or incompetence on more than one occasion. Permitting or aiding an unlicensed person to perform activities requiring a license. Refusing a client or patient service because of race, creed, color, or national origin.
Applicants must have completed at least one year of clinical residency training in an accredited program and must possess or be eligible for a full and unre- stricted New York State medical license. Licensure must be obtained by the program start date.
The New York State Health Department's Office of Professional Medical Conduct (OPMC) and the state Board for Professional Medical Conduct (board) are responsible for investigating and adjudicating complaints against physicians, physician assistants, and specialist assistants*.
Doctor Complaint Agency: New York State Department of Health. Division: Professional Medical Conduct. Phone Number: (800) 663-6114. Business Hours: Monday - Friday: 8 AM - 4:45 PM.
The New York State Department of Health (the Department) has been overseeing the health, safety, and well-being of New Yorkers since 1901 – from vaccinations to utilizing new developments in science as critical tools in the prevention and treatment of infectious diseases.
1-800-663-6114 - Complaints/Inquiries (Monday-Friday 9:00 a.m - 5:00 p.m.)
The Office of Professional Medical Conduct reviews all complaints of professional medical misconduct against licensed physicians, physician assistants and specialist assistants, including complaints of sexual harassment and assault.
Health professionals study, diagnose, treat and prevent human illness, injury and other physical and mental impairments in accordance with the needs of the populations they serve.

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The New York State Board for Professional Medical Conduct Order is a regulatory action taken against medical professionals in New York State that addresses violations of medical practice laws or regulations.
Medical professionals, including physicians and healthcare providers, who have been involved in conduct that violates medical regulations are required to file this order.
To fill out the order, individuals must gather relevant information concerning the conduct in question, complete all sections of the form accurately, and submit it according to the guidelines provided by the New York State Department of Health.
The purpose of the order is to ensure accountability and maintain high standards of medical practice by addressing concerns and infractions related to medical conduct.
The order must report details including the nature of the violation, identification of the medical professional involved, dates of incidents, and any other relevant evidence or documentation.
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