On December 02, 2016 a
Exhibit,Appendix
was filed
involving a dispute between
Klara Khutoryanskaya,
and
Alexander Rabinovich M.D.,
Brooklyn Eye Surgery Center L.L.C. D B A Brooklyn Eye Surgery Center,
John And Jane Does 1 - 100,
Laser & Microsurgery, P.C. D B A Ny Lasik Laser & Microsurgery Institute,
for Torts - Medical, Dental, or Podiatrist Malpractice
in the District Court of Kings County.
Preview
FILED: KINGS COUNTY CLERK 04/08/2019 04:55 PM INDEX NO. 521431/2016
NYSCEF DOC. NO. 129 RECEIVED NYSCEF: 04/08/2019
EXHIBIT B
FILED: KINGS COUNTY CLERK 04/08/2019 04:55 PM INDEX NO. 521431/2016
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NO. 129 RECEIVED Page
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Alexander Rabinovich
°B oo y ,N
NYS License Numbar: 252107
Date of NYS Liuéñsürs; 02-23-2009
Profile last updated by physician: 11-24-2017
National Provider ID: 1245411743
Medical School
SUNY UPSTATE MEDICAL UNIVERSITY, SYRACUSE NY,
2004
Note: This information cannot be used by healthcare organizations to meet their
credentialing requiremêñts as set forth by accrediting bodies such as the Joint Commission
or National Committee for Quality Assurance (NCQA).
Graduate Medical Education
Sponsor Start Date Completed Specialty
MOUNT SINIAI ST
07-01-2005 06-30-2008 Yes OPHTHALMOLOGY
LUKES'S
FLUSHING HOSP TRANSITIONAL
07-01-2004 06-30-2005 Yes
MED CTR YEAR
Note: This information cannot be used by healthcare organizations to meet their
credentialing requirements as set forth by accrediting bodies such as the Joint Commission
or National Committee for Quality Assurance (NCQA).
Board Certification_s
*AM BRD OF OPHTHALMOLOGY 06-06-2010 06-06-2020
Board Subcertifications Certification Date Expiration Date
Plastic Surgery within the Head and Neck 07-01-2008 06-30-2009
1. Note: The state of New York recognizes the specialty boards that are members or
compoñeñts of the ABMS, AOA or RCPSC. Certification by member boards or
components of these umbrella organizations is the responsibility of the member
organization.
"01"
2. Note:For certification dates, a default value of appears in the month field ifthe
specific month was not provided by ABMS.
*ABMS Copyright 2019 American Board of Medical Specialties. All rights reserved.
Professional Memberships (Optional)
Last Updated11-24-2017
https://www.nydoctorprofile.com/dispatch 4/8/2019
FILED: KINGS COUNTY CLERK 04/08/2019 04:55 PM INDEX NO. 521431/2016
NYSCEF Print
DOC. Options
NO. 129 RECEIVED Page
NYSCEF: 2 of 2
04/08/2019
Organizations
American Academy of Ophthalmology, Fellow
Note: Professional Memberships information continues to be collected and reviewed. You
should check periodically to see ifinformation has been added or updated.
https://www.nydoctorprofile.com/dispatch 4/8/2019
Document Filed Date
April 08, 2019
Case Filing Date
December 02, 2016
Category
Torts - Medical, Dental, or Podiatrist Malpractice
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FILED: KINGS COUNTY CLERK 04/08/2019 04:55 PM INDEX NO. 521431/2016 NYSCEF DOC. NO. 129 RECEIVED NYSCEF: 04/08/2019 EXHIBIT B FILED: KINGS COUNTY CLERK 04/08/2019 04:55 PM INDEX NO. 521431/2016 NYSCEF Print DOC. Options NO. 129 RECEIVED Page NYSCEF: 1 of 2 04/08/2019 Go back to previous page Alexander Rabinovich °B oo y ,N NYS License Numbar: 252107 Date of NYS Liuéñsürs; 02-23-2009 Profile last updated by physician: 11-24-2017 National Provider ID: 1245411743 Medical School SUNY UPSTATE MEDICAL UNIVERSITY, SYRACUSE NY, 2004 Note: This information cannot be used by healthcare organizations to meet their credentialing requiremêñts as set forth by accrediting bodies such as the Joint Commission or National Committee for Quality Assurance (NCQA). Graduate Medical Education Sponsor Start Date Completed Specialty MOUNT SINIAI ST 07-01-2005 06-30-2008 Yes OPHTHALMOLOGY LUKES'S FLUSHING HOSP TRANSITIONAL 07-01-2004 06-30-2005 Yes MED CTR YEAR Note: This information cannot be used by healthcare organizations to meet their credentialing requirements as set forth by accrediting bodies such as the Joint Commission or National Committee for Quality Assurance (NCQA). Board Certification_s *AM BRD OF OPHTHALMOLOGY 06-06-2010 06-06-2020 Board Subcertifications Certification Date Expiration Date Plastic Surgery within the Head and Neck 07-01-2008 06-30-2009 1. Note: The state of New York recognizes the specialty boards that are members or compoñeñts of the ABMS, AOA or RCPSC. Certification by member boards or components of these umbrella organizations is the responsibility of the member organization. "01" 2. Note:For certification dates, a default value of appears in the month field ifthe specific month was not provided by ABMS. *ABMS Copyright 2019 American Board of Medical Specialties. All rights reserved. Professional Memberships (Optional) Last Updated11-24-2017 https://www.nydoctorprofile.com/dispatch 4/8/2019 FILED: KINGS COUNTY CLERK 04/08/2019 04:55 PM INDEX NO. 521431/2016 NYSCEF Print DOC. Options NO. 129 RECEIVED Page NYSCEF: 2 of 2 04/08/2019 Organizations American Academy of Ophthalmology, Fellow Note: Professional Memberships information continues to be collected and reviewed. You should check periodically to see ifinformation has been added or updated. https://www.nydoctorprofile.com/dispatch 4/8/2019