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A scanned letter on BronxCare Health System letterhead, dated January 3, 2021, addressed to The Supreme Pontiff of Hinduism, Jagatguru Mahasannidhanam, His Divine Holiness Bhagavan Sri Nithyananda Paramashivam, KAILASA Nation. It congratulates the 44th Jayanthi anniversary and is signed by Upendra R. Bhatt, MD, Psychiatrist, with a grey NYS License stamp. The page also carries a fax header timestamped 01/04/2021 10:02 and a Mount Sinai affiliate logo at the bottom. No people are visible.