AYMAN R FARAG
Physician/surgeon


Address: 731 Johnston Ter, Staten Island, NY 10309-3917

AYMAN R FARAG (Credential# 1129819) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

AYMAN R FARAG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051617. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 731 Johnston Ter, Staten Island, NY 10309-3917. The current status is active.

Basic Information

Licensee Name AYMAN R FARAG
Credential ID 1129819
Credential Number 1.051617
Credential Type Physician/Surgeon
Business Address 731 Johnston Ter
Staten Island
NY 10309-3917
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2013-02-01
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2019-12-09

Other licenses

ID Credential Code Credential Type Issue Term Status
1154349 CSP.0054390 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-19 2019-03-01 - 2021-02-28 INACTIVE

Office Location

Street Address 731 JOHNSTON TER
City STATEN ISLAND
State NY
Zip Code 10309-3917

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Competitor

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City STATEN ISLAND
Zip Code 10309
License Type Physician/Surgeon
License Type + County Physician/Surgeon + STATEN ISLAND

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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