SISSEY E JOSE
Physician Assistant


Address: 212 Hales Ave, Staten Island, NY 10312-6146

SISSEY E JOSE (Credential# 1262711) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is February 20, 2015. The license expiration date date is August 31, 2015. The license status is INACTIVE.

Business Overview

SISSEY E JOSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003284. The credential type is physician assistant. The effective date is February 20, 2015. The expiration date is August 31, 2015. The business address is 212 Hales Ave, Staten Island, NY 10312-6146. The current status is inactive.

Basic Information

Licensee Name SISSEY E JOSE
Credential ID 1262711
Credential Number 23.003284
Credential Type Physician Assistant
Business Address 212 Hales Ave
Staten Island
NY 10312-6146
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2015-02-20
Effective Date 2015-02-20
Expiration Date 2015-08-31
Refresh Date 2015-12-08

Office Location

Street Address 212 HALES AVE
City STATEN ISLAND
State NY
Zip Code 10312-6146

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Joseph J Aliotta 74 Robinson Ave, Staten Island, NY 10312 Architect 2020-08-01 ~ 2021-07-31
David P Suarez 3733 Richmond Avenue, Staten Island, NY 10312 Physician/surgeon 2018-11-01 ~ 2019-10-31
Raven Devincenzo Md 59 Van Brunt St, Staten Island, NY 10312 Physician/surgeon 2020-02-01 ~ 2021-01-31
Yanina Gleyzer 246 Hillcrest Street, Staten Island, NY 10312 Master's Level Social Worker 2019-10-01 ~ 2020-09-30
Richard Louis Sosa 15 Osage Lane, Staten Island, NY 10312 Registered Nurse 2019-09-01 ~ 2020-08-31
Janice Riso 241 Kinghorn St, Staten Island, NY 10312 Resident Physician 2015-07-01 ~ 2019-06-30
Bedzet Vejselovski · E. V. Masonry 169 Rathbun Ave, Staten Island, NY 10312 Home Improvement Contractor 2006-01-25 ~ 2006-11-30
Frederick A Barbieri 62 Covington Circle, Staten Island, NY 10312 Professional Engineer 2012-02-01 ~ 2013-01-31
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Competitor

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City STATEN ISLAND
Zip Code 10312
License Type Physician Assistant
License Type + County Physician Assistant + 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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