PAULA BRIGNONI-BLUME
Physician/surgeon


Address: 430 West Broadway, New York, NY 10012

PAULA BRIGNONI-BLUME (Credential# 1189790) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2018. The license expiration date date is December 31, 2018. The license status is INACTIVE.

Business Overview

PAULA BRIGNONI-BLUME is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052679. The credential type is physician/surgeon. The effective date is January 1, 2018. The expiration date is December 31, 2018. The business address is 430 West Broadway, New York, NY 10012. The current status is inactive.

Basic Information

Licensee Name PAULA BRIGNONI-BLUME
Credential ID 1189790
Credential Number 1.052679
Credential Type Physician/Surgeon
Business Address 430 West Broadway
New York
NY 10012
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2014-01-22
Effective Date 2018-01-01
Expiration Date 2018-12-31
Refresh Date 2019-04-05

Other licenses

ID Credential Code Credential Type Issue Term Status
1190119 CSP.0056308 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-01-23 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 430 West Broadway
City New York
State NY
Zip Code 10012

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City New York
Zip Code 10012
License Type Physician/Surgeon
License Type + County Physician/Surgeon + New York

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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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