TIFFANY PHYOE-BATTAGLIA
Controlled Substance Registration for Practitioner


Address: 173 Claudy Ln, New Hyde Park, NY 11040-1638

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.

Business Overview

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.

Basic Information

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

Other licenses

ID Credential Code Credential Type Issue Term Status
1487623 1.057341-RES Resident Physician 2015-06-15 2015-06-15 - 2019-06-28 INACTIVE

Office Location

Street Address 173 CLAUDY LN
City NEW HYDE PARK
State NY
Zip Code 11040-1638

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Competitor

Search similar business entities

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

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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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