TIFFANY PHYOE-BATTAGLIA (Credential# 1278851) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is INACTIVE.
TIFFANY PHYOE-BATTAGLIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0059869. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 173 Claudy Ln, New Hyde Park, NY 11040-1638. The current status is inactive.
Licensee Name | TIFFANY PHYOE-BATTAGLIA |
Credential ID | 1278851 |
Credential Number | CSP.0059869 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
173 Claudy Ln New Hyde Park NY 11040-1638 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LACK OF ACTIVE MEDICAL LICENSE |
Issue Date | 2016-01-13 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2020-04-21 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1487623 | 1.057341-RES | Resident Physician | 2015-06-15 | 2015-06-15 - 2019-06-28 | INACTIVE |
Street Address | 173 CLAUDY LN |
City | NEW HYDE PARK |
State | NY |
Zip Code | 11040-1638 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hibah Aijaz | 54 Herbert Drive, New Hyde Park, NY 11040 | Physician/surgeon | 2018-12-03 ~ 2019-12-31 |
Anna Marie Jardine · Harvey | 39 Flag Lane, New Hyde Park, NY 11040 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Bruce H Safran | 2101 Royal Court, North Hills, NY 11040 | Dentist | 2020-07-01 ~ 2021-06-30 |
Roy B Cohen | 105 Elm La, New Hyde Park, NY 11040 | Optometrist | 2020-04-01 ~ 2021-03-31 |
Poko Management Corp | 2417 Jericho Tpke, New Hyde Park, NY 11040 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
Michael A. Bianco | 50 Rose Place, Garden City Park, NY 11040 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Ananthakumar Thillainathan | 5 Camden Place, Newhydepark, NY 11040 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
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 |
Find all Licenses in zip 11040 |
City | NEW HYDE PARK |
Zip Code | 11040 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HYDE PARK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tiffany A Perkins | 10 Oak St, Enfield, CT 06082-4723 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Tiffany Brady | 105 Myrtle St, New Britain, CT 06051-1859 | Controlled Substance Registration for Practitioner | 2015-02-24 ~ 2017-02-28 |
Tiffany Le | 1055 Kennedy Rd, Windsor, CT 06095 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Tiffany D Labella Md | 19 Cedar Rd, Woodbridge, CT 06525-1642 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Tiffany J Lewis | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Tiffany Rhodes | 26 Deacon Ln, Hollis, NH 03049 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Tiffany C Zigras | 267 Ellsworth St, Bridgeport, CT 06605-3165 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Tiffany A Gillis | 11 Courtland Dr, Huntington, CT 06484 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
Tiffany Moadel | 124 Walnut Ln, Manhasset, NY 11030-1618 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Tiffany L Sikalas | 1810 3rd Ave Apt A3b, New York, NY 10029-6293 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).