EFTA00134682Set 9
2019-07-09101p15,214w
Date of Birth: 01/20/1953 Sex: Facility: NYM
Note Date: 07/07/2019 00:17 Provider. Unit: E06
Cosign Note - Intake Cosign encounter performed at Health Services.
Administrative Notes:
ADMINISTRATIVE NOTE 1 Provider ... Name EPSTEIN, JEFFREY Received 07/1012019 10:44
Reg # 76318-054 Order Unit E06-547U
Provider IME MM. MD Reported 07/10/2019 14:46
DOB 01/20/1953 LIS ID 188191004
Sex M
HEMATOLOGY ... Name EPSTEIN, JEFFREY Received 07/10/2019 10:44
Reg # 76318-054 Order Unit E06-547U
Provider MD Reported 07/10/2019 14:46
DOB 01/20/1953 188191004
LIS ID
Sex M
HIV
Negative Negative
https://www.justice.gov/epstein/files/DataSet%209/EFTA00134682.pdf