JAY MATUT (Credential# 1272568) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
JAY MATUT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054294. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1438 3rd Ave., Apt. 6e, New York, NY 10028. The current status is active.
| Licensee Name | JAY MATUT |
| Credential ID | 1272568 |
| Credential Number | 1.054294 |
| Credential Type | Physician/Surgeon |
| Business Address |
1438 3rd Ave., Apt. 6e New York NY 10028 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-06-25 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1272967 | CSP.0059728 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-06-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1438 3rd Ave., Apt. 6E |
| City | New York |
| State | NY |
| Zip Code | 10028 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Doe Fund Inc (the) | 232 East 84th Street, New York, NY 10028 | Public Charity | 2020-05-31 ~ 2020-05-31 |
| Joanne Reed | 515 E 85 St, New York, NY 10028 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexander Gunn | 205 East 85th Street #12cd, New York, NY 10028 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Philip Felig | 1056 Fifth Ave, New York, NY 10028 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Elie Levine | 35 East 84th Street, New York, NY 10028 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Olivia Z Hutchinson | 121a East 83rd Street, New York, NY 10028 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Barry Sender | 520 East 84th St, New York, NY 10028 | Optician | 2020-06-01 ~ 2021-05-31 |
| Philip J Wagner | 525 E. 86th Street, New York, NY 10028 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Mark Graham Albert | 950 Park Avenue, New York, NY 10028 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susan C Casden | 185 East 85th Street, New York, NY 10028 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10028 | |||
| City | New York |
| Zip Code | 10028 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New York |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Barbara M Galko Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2010-06-01 ~ 2011-05-31 |
| Barbara A Brandes Md | Danbury Office of Physician Services, Danbury, CT 06810 | Physician/surgeon | 2004-07-08 ~ 2005-07-31 |
Please comment or provide details below to improve the information on JAY MATUT.
| 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).