SEAN M MISCIAGNA
Physician/surgeon


Address: 565 Martling Ave, Tarrytown, NY 10591-4719

SEAN M MISCIAGNA (Credential# 1279151) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is December 2, 2015. The license expiration date date is November 15, 2015. The license status is INACTIVE.

Business Overview

SEAN M MISCIAGNA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054795. The credential type is physician/surgeon. The effective date is December 2, 2015. The expiration date is November 15, 2015. The business address is 565 Martling Ave, Tarrytown, NY 10591-4719. The current status is inactive.

Basic Information

Licensee Name SEAN M MISCIAGNA
Credential ID 1279151
Credential Number 1.054795
Credential Type Physician/Surgeon
Business Address 565 Martling Ave
Tarrytown
NY 10591-4719
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2015-12-02
Effective Date 2015-12-02
Expiration Date 2015-11-15
Refresh Date 2016-04-07

Office Location

Street Address 565 MARTLING AVE
City TARRYTOWN
State NY
Zip Code 10591-4719

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Emily Riedel 154 Martling Avenue, Tarrytown, NY 10591 Notary Public Appointment 2020-04-01 ~ 2025-03-31
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Competitor

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City TARRYTOWN
Zip Code 10591
License Type Physician/Surgeon
License Type + County Physician/Surgeon + TARRYTOWN

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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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