License holder summary

FASULI STAVRULA G is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for FASULI STAVRULA G is EAST ELMHURST NY. This doctor license is current. The license was granted 06/08/1979 and expired on 10/31/2016.

New York

Office of the Professions

FASULI STAVRULA G
Medicine (Physician, Including M Ds & D Os)
License number
138225
Date granted
06/08/1979
Date expires
10/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
EAST ELMHURST NY
nymedicine.org
ID 30137205
LAST UPDATED 2024-02-23 23:52:29 UTC

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