RICHARD PARK (Credential# 1270974) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
RICHARD PARK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054524. The credential type is physician/surgeon. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 1345 Rxr Plz, Uniondale, NY 11556-1301. The current status is active.
Licensee Name | RICHARD PARK |
Credential ID | 1270974 |
Credential Number | 1.054524 |
Credential Type | Physician/Surgeon |
Business Address |
1345 Rxr Plz Uniondale NY 11556-1301 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2015-08-12 |
Effective Date | 2019-12-01 |
Expiration Date | 2020-11-30 |
Refresh Date | 2019-10-11 |
Street Address | 1345 RXR PLZ |
City | UNIONDALE |
State | NY |
Zip Code | 11556-1301 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Vincent J Campasano | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Daniel M Frogel | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Jack Liu | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Linda Citro | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
Gary Mazer | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Michelle Brosnan | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-05-01 ~ 2020-04-30 |
David C Kim | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
Ileana G Rosas | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician Assistant | 2018-04-01 ~ 2019-03-31 |
Peder J Aakjar | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician Assistant | 2018-01-01 ~ 2018-12-31 |
David Y Shih | 1345 Rxr Plz, Uniondale, NY 11556-1301 | Physician/surgeon | 2017-12-01 ~ 2018-11-30 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eric F Decena | 1236 Rxr Plaza, Uniondale, NY 11556 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Sterling Finance II, Lp | 511 Rxr Plaza, Uniondale, NY 11556 | Securities - Exemptions | 2019-12-13 ~ |
Joanna E Bernardini | 1345 R X R Plaza, Uniondale, NY 11556 | Physician Assistant | 2018-01-01 ~ 2018-12-31 |
Marina Klindo | 1345 Rxr Plaza, Uniondale, NY 11556 | Physician Assistant | 2017-10-01 ~ 2018-09-30 |
Joseph Chirayil | 1236 Rxr Plaza, Uniondale, NY 11556 | Physician/surgeon | 2019-12-30 ~ 2020-10-31 |
Cheryl Ann Madden | 1345 Rxr Plaza, Uniondale, NY 11556 | Physician Assistant | 2017-07-01 ~ 2018-06-30 |
Andrew Sama | 1236 Rxr Plz, Uniondale, NY 11556-1236 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kimberly Easley | 1016 Cleveland St, Uniondale, NY 11553-3108 | Registered Nurse - Temporary | 2020-05-11 ~ 2020-09-08 |
Robert R Scarlett | 740 Colonial St, Uniondale, NY 11553-3543 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
John Massaro | 879 Nassau Rd, Uniondale, NY 11553-3131 | Electrical Unlimited Contractor | 2019-10-01 ~ 2020-09-30 |
Chinwe T. Erike Md | 181 Uniondale Avenue, Uniondale, NY 11553 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Remember Mama's Kitchen | 422 Uniondale Ave, Uniondale, NY 11553 | Bakery | 2002-07-01 ~ 2003-06-30 |
Lynnelle Glenn | 609 Paff Avenue, Uniondale, NY 11553 | Registered Nurse | 2016-06-01 ~ 2017-05-31 |
Stephen C Lawhorn | 100 Charles Lindbergh, Uniondale, NY 11553 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
Soniar Clarke | 1094 Fayette Street, Uniondale, NY 11553 | Master's Level Social Worker | 2015-08-04 ~ 2016-03-31 |
Xiatong Wang | 100 Charles Lindbergh Blvd, Uniondale, NY 11553-3631 | Physician/surgeon | ~ |
Paul S Boyce | 50 Charles Lindbergh Blvd Ste 503, Uniondale, NY 11553 | Professional Engineer | 2003-04-07 ~ 2004-01-31 |
Find all Licenses in UNIONDALE |
City | UNIONDALE |
Zip Code | 11556 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + UNIONDALE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Richard D Lisman | 635 Park Ave, New York, NY 10021 | Physician/surgeon | 2000-04-26 ~ 2001-04-30 |
Richard B Mendelssohn Md | 4 Park Place, Hartford, CT 06106 | Physician/surgeon | 2000-11-24 ~ 2001-10-31 |
Richard Tsai Md | 484 Old Courthouse Rd, New Hyde Park, NY 11040 | Physician/surgeon | 2004-02-25 ~ 2005-03-31 |
Ryan Richard Wade | 128 Woodland Park, Shelton, CT 06484 | Physician/surgeon | ~ |
Richard Carl Abisla | 41 Woodland Park, Hartford, CT 06105 | Physician/surgeon | 1984-09-05 ~ 1985-05-31 |
William Richard Hampton | 199 Park Club Lane Suite 300, Williamsville, NY 14221 | Physician/surgeon | 2017-04-01 ~ 2018-03-31 |
Alan H Spiro | 350 N Deere Park Dr, Highland Park, IL 60035 | Physician/surgeon | 1992-07-23 ~ 1993-07-31 |
Hareem Park | 10 Park Row West, Providence, RI 02903 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Mark Andrew Ciagne | 3850 Park Nicollet Blvd, St. Louis Park, MN 55416 | Physician/surgeon | 2019-06-12 ~ 2020-03-31 |
Richard Pilot · Paul Richard Pilot | 5 Dock Watch Hollow Road, Warren, NJ 07059 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
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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).