RALPH BENJAMIN (Credential# 1165785) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
RALPH BENJAMIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052201-DO. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 11731 Nashville Blvd, Cambria Heights, NY 11411. The current status is active.
| Licensee Name | RALPH BENJAMIN |
| Credential ID | 1165785 |
| Credential Number | 1.052201-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
11731 Nashville Blvd Cambria Heights NY 11411 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-07-03 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1165709 | CSP.0054751 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-07-05 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1284855 | CSP.0060239 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-05-16 | 2015-05-16 - 2017-02-28 | INACTIVE |
| Street Address | 11731 NASHVILLE BLVD |
| City | CAMBRIA HEIGHTS |
| State | NY |
| Zip Code | 11411 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raquel Rochester | 11731 Nashville Blvd, Cambria Heights, NY 11411-1536 | Registered Nurse | 2017-05-01 ~ 2018-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Melanie B Germain | 117-46 228th Street, Cambria Heights, NY 11411 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Julian Jones | 115-84 225 St., Cambria Heights, NY 11411 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Marjorie Gaspard | 218-14 118th Ave, Cambria Heights, NY 11411 | Licensed Practical Nurse | 2020-02-01 ~ 2021-01-31 |
| Shante Satchell | 120-48 223rd Street, Cambria Heights, NY 11411 | Notary Public Appointment | 2018-01-29 ~ 2023-01-31 |
| Deborah Vanessa York | 11943 227th Street, Cambria Heights, NY 11411 | Registered Nurse | 2018-07-01 ~ 2019-06-30 |
| Victor Hall | 253-06 116th Ave., Cambria Heightts, NY 11411 | Medication Administration Certification | 2018-10-31 ~ 2020-10-31 |
| Anthony J Teil | 115-114 23rd St, Cqambria Heights, NY 11411 | Home Improvement Salesperson | 2007-02-01 ~ 2007-11-30 |
| Godfrey N/a Stewart | 228-35 114th Terrace, Queens, NY 11411 | Master's Level Social Worker | ~ |
| Chinonye O Edeh | 115-95 219th Street, Cambria Heights, NY 11411 | Registered Nurse | 2016-07-18 ~ 2017-07-31 |
| Yejide Ojo | 115-92 233rd Street, Cambria Heights, NY 11411 | Master's Level Social Worker | 2016-01-01 ~ 2016-12-31 |
| Find all Licenses in zip 11411 | |||
| City | CAMBRIA HEIGHTS |
| Zip Code | 11411 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + CAMBRIA HEIGHTS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ralph J Laguardia | 25 Mai Rd, Amston, CT 06231-1417 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Ralph T Tella | 15 Benenson Dr, Cos Cob, CT 06807 | Physician/surgeon | 2003-10-09 ~ 2004-10-31 |
| Benjamin Stein | 161 Madison Ave, New York, NY 10016 | Physician/surgeon | ~ |
| Benjamin Richard Jacobs | CT | Physician/surgeon | ~ 1992-03-31 |
| Ralph J Deponte Md | 101 Starrett Dr., Charlestown, RI 02813 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Ralph J Cipriani | 7 Riversville Rd Ste 1, Greenwich, CT 06831-3684 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ralph L Crum | P. O. Box 40713, Austin, TX 78704 | Physician/surgeon | 2009-10-01 ~ 2010-09-30 |
| Ralph R Stephens Jr | 530 Pembroke Ave, Norfolk, VA 23507 | Physician/surgeon | 1995-12-22 ~ 1996-12-31 |
| Ralph Prezioso Jr | 136 Windward Pl, Southington, CT 06489 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ralph A Olson | 230 Park Ave, New York, NY 10169 | Physician/surgeon | 1995-02-14 ~ 1996-01-31 |
Please comment or provide details below to improve the information on RALPH BENJAMIN.
| 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).