MICHAEL G VITALE MD (Credential# 1264991) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is January 30, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.
MICHAEL G VITALE MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059345. The credential type is controlled substance registration for practitioner. The effective date is January 30, 2015. The expiration date is February 28, 2017. The business address is 3959 Broadway 8n, New York, NY 10032. The current status is inactive.
| Licensee Name | MICHAEL G VITALE MD |
| Credential ID | 1264991 |
| Credential Number | CSP.0059345 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3959 Broadway 8n New York NY 10032 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2015-01-30 |
| Effective Date | 2015-01-30 |
| Expiration Date | 2017-02-28 |
| Refresh Date | 2018-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 472747 | CSP.0041565 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-06-01 | 2013-03-01 - 2015-02-28 | INACTIVE |
| 562897 | 1.045315 | Physician/Surgeon | 2007-04-24 | 2013-12-01 - 2014-11-30 | INACTIVE |
| Street Address | 3959 BROADWAY 8N |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca H C Yeh | 835 Riverside Drive, New York, NY 10032 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Olga M Brown | 621 W 169 Street, New York City, NY 10032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J Howard Williams | 835 Riverside Dr Apt #1-d, New York, NY 10032 | Landscape Architect | 2018-08-01 ~ 2019-07-31 |
| Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Mitchell S Elkind | 710 W. 168th Street, New York, NY 10032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Emily Chug | 100 Haven Ave, New York, NY 10032 | Physical Therapist | ~ |
| Rainer N Mittl | 635 West 165th Street, New York, NY 10032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Tristan Timothy Sands | 180 Fort Washington Ave, 5th Floor, New York, NY 10032 | Physician/surgeon | ~ |
| Thread Connects, Inc. · Thread | 611 W 163rd St, New York, NY 10032 | Public Charity | 2020-03-24 ~ 2020-11-30 |
| Mitchell Wade Dillon | 565 West 169th Street, New York, NY 10032 | Genetic Counselor | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10032 | |||
| City | NEW YORK |
| Zip Code | 10032 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael J Vitale Dmd | 111 Park St #1e, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexandra R Vitale | 15 Riverside Ave, Bristol, CT 06010-5161 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neil B Vitale Md | 160 Robbins St, Waterbury, CT 06708 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Carolyn J Vitale | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Marie P Vitale Md | 7 Hidden Trail, Spencerport, NY 14559 | Controlled Substance Registration for Practitioner | 2017-07-12 ~ 2019-02-28 |
| Glenn C Vitale Dpm | 385 Main Street, West Haven, CT 06516 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rebecca Vitale | Yale New Haven Hospital, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stacey C Michael Dmd | Michael Dental of Clinton, LLC, Clilnton, CT 06413 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael K Hwang Dmd | Michael K Hwang, Dmd, LLC, East Hartford, CT 06108 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael Blefeld | 495 Rt 184, Groton, CT 06340 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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| 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).