BENESA S BABY
Physician/surgeon


Address: 9 Jade St, New City, NY 10956-7020

BENESA S BABY (Credential# 1321125) 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.

Business Overview

BENESA S BABY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054834. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 9 Jade St, New City, NY 10956-7020. The current status is active.

Basic Information

Licensee Name BENESA S BABY
Credential ID 1321125
Credential Number 1.054834
Credential Type Physician/Surgeon
Business Address 9 Jade St
New City
NY 10956-7020
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2015-12-29
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1327806 CSP.0061931 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2016-01-08 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 9 JADE ST
City NEW CITY
State NY
Zip Code 10956-7020

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Todd Rosenblum 200 East Eckerson Road, New City, NY 10956 Architect 2020-08-01 ~ 2021-07-31
Katherine Dalton 4 Banta Place, New City, NY 10956 Registered Nurse 2019-01-01 ~ 2019-12-31
Christiana I Famodimu 12 Woodhaven Drive, New City, NY 10956 Physician/surgeon 2020-06-01 ~ 2021-05-31
Anthony F Lando 5 Harvest Road, New City, NY 10956 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
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Martha A Ellis · Was Martha E. Gitlitz 28 Woodglen Drive, New City, NY 10956 Certified General Real Estate Appraiser 2020-05-01 ~ 2021-04-30
Lucy Villa 5 Prides Crossing, New City, NY 10956 Dentist 2020-03-01 ~ 2021-02-28
Perry Evan Schattman 2 Glenmere Rd, New City, NY 10956 Emergency Medical Technician ~
Marcia Marijas 6 Dolphin Rd, New City, NY 10956 Medication Administration Certification ~
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Competitor

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City NEW CITY
Zip Code 10956
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW CITY

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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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