ANANTHAKUMAR THILLAINATHAN
Physician/surgeon


Address: 5 Camden Place, Newhydepark, NY 11040

ANANTHAKUMAR THILLAINATHAN (Credential# 1267859) 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.

Business Overview

ANANTHAKUMAR THILLAINATHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053980. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 5 Camden Place, Newhydepark, NY 11040. The current status is active.

Basic Information

Licensee Name ANANTHAKUMAR THILLAINATHAN
Credential ID 1267859
Credential Number 1.053980
Credential Type Physician/Surgeon
Business Address 5 Camden Place
Newhydepark
NY 11040
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-04-07
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-02-18

Other licenses

ID Credential Code Credential Type Issue Term Status
1285264 CSP.0060250 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-05-19 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 5 camden place
City newhydepark
State NY
Zip Code 11040

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Deborah J Dolan 1106 Jericho Tpke, New Hyde Park, NY 11040 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Gracemon Kuriakose 1042 Hillside Blvd, New Hyde Park, NY 11040 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Johnson D Daniel 121 South 9th Street, New Hyde Park, NY 11040 Tax Preparer/facilitator Permit 2020-02-12 ~ 2022-02-28
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Competitor

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City newhydepark
Zip Code 11040
License Type Physician/Surgeon
License Type + County Physician/Surgeon + newhydepark

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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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