Medical Board Sanctions In Jericho New York

Brad Justin Jacobs MD

License Number

175524

Medical Board Action

License surrender.

Address

134 Foxwood Drive
Jericho, New York 11753

Effective Date: 9/21/2007

Daniel Shapiro MD

License Number

125974

Medical Board Action

License suspension for sixty months with the last fifty-nine months stayed with probation for as long as the physician holds a New York State medical license.The physician's medical license is permanently limited precluding the performance of intravenous therapy except in the case of an emergency and the prescribing of all controlled substances encompassed in Schedules I-V of New York State Public Health Law Section 3306 and /or in 21 U.S.C. Section 812 except for zaleplon and zolpidem tartrate in any brand formulation.

Address

50 Hazelwood Avenue
Jericho, New York 11753

Effective Date: 9/02/2004