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Riverhead physician assistant to be released on bond

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Riverhead physician assistant Michael Troyan is expected to be released on bond today after his father, Peter, agreed to put up his Riverhead home worth $1 million as equity. 

Mr. Troyan, who prosecutors described as of prescription narcotic drug pills, returned to federal court in Central Islip Friday morning before federal Magistrate Gary Brown.

“Your father putting up his house is a significant act,” Mr. Brown told Mr. Troyan in court.

Mr. Troyan’s wife, Marissa, also agreed to put up their house as well.

Mr. Troyan, 37, surrendered his passport, a pistol permit with the county and his father surrendered six of his son’s guns at the time of the arrest: two handguns, two shotguns and two rifles.

Assistant U.S. Attorney Allen Bode described Mr. Troyan as “acting like a drug dealer.”

“This isn’t a case of a health professional looking the other way,” he said.

Mr. Bode said Mr. Troyan downplayed his role at East End Urgent and Primary Care in Riverhead during his initial court appearance on Wednesday. He described Mr. Troyan as “the boss” and said he had an agreement with a doctor to split profits 50/50. The doctor has not been identified.

Mr. Troyan’s new attorney, Mark Musachio of Deer Park, at first said his client was the office manager. He then asked to speak to his client and said “there is a written agreement that they’ll share profits on the business. It is not a partnership.”

Mr. Brown said “it is troubling” that Mr. Troyan misrepresented himself earlier in court.

Although Mr. Brown ordered Mr. Troyan to surrender his DEA registration, he encouraged Mr. Troyan to return to work under the conditions that he not prescribe any medication even through a third party.

The judge also told Mr. Troyan not to leave Long Island or the New York City area and explained how he’s also subject to random home and employment visits. Mr. Brown added Mr. Troyan must “undergo random drug testing, evaluation and/or treatment for substance abuse,” according to court documents.

Mr. Bode said he’s in talks with Mr. Troyan’s attorney on a plea deal. The next court date is scheduled for Nov. 19 at 11 a.m.

Mr. Troyan’s attorney brought a stack of letters to court written by patients expressing support for him.

In court documents filed in federal court Wednesday, Mr. Bode wrote a letter to the judge saying it was estimated the prescription-pill ring netted more than $1.8 million over a period of four years. The agents said they seized text messages sent by Mr. Troyan to his co-conspirators, numbering as high as 20, discussing payment for the illegal prescriptions, and early last month he sought an assault rifle as payment.

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