EFTA00121374

# Bureau of Prisons
Health Services
See Amendment

<table border="1"><tr><td>Inmate Name:</td><td colspan="4">EPSTEIN, JEFFREY EDWARD</td><td>Reg #:</td><td>76318-054</td></tr><tr><td>Date of Birth:</td><td>01/20/1953</td><td>Sex:</td><td>M</td><td></td><td>Race:</td><td>WHITE</td></tr><tr><td>Encounter Date:</td><td>07/09/2019 10:13</td><td></td><td></td><td></td><td>Facility:</td><td>NYM</td></tr></table>

PhD/Chief Psychologist on 07/09/2019 10:40.

Bureau of Prisons - NYM