ANDREA ZIVOT
Physician/surgeon


Address: 6096 69th Ave Apt 1, Ridgewood, NY 11385-5154

ANDREA ZIVOT (Credential# 1334729) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 18, 2016. The license expiration date date is September 30, 2016. The license status is INACTIVE.

Business Overview

ANDREA ZIVOT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055271. The credential type is physician/surgeon. The effective date is May 18, 2016. The expiration date is September 30, 2016. The business address is 6096 69th Ave Apt 1, Ridgewood, NY 11385-5154. The current status is inactive.

Basic Information

Licensee Name ANDREA ZIVOT
Credential ID 1334729
Credential Number 1.055271
Credential Type Physician/Surgeon
Business Address 6096 69th Ave Apt 1
Ridgewood
NY 11385-5154
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-05-18
Effective Date 2016-05-18
Expiration Date 2016-09-30
Refresh Date 2017-01-03

Office Location

Street Address 6096 69TH AVE APT 1
City RIDGEWOOD
State NY
Zip Code 11385-5154

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Yun Di Zhang 20 - 24 Bleecker Street, Ridgewood, NY 11385 Casino Class I Employee 2019-12-03 ~ 2020-10-31
Zachary C Wright 1889 Troutman Street, Ridgewood, NY 11385 Professional Engineer 2020-02-27 ~ 2021-01-31
Mike Oniszczuk 6683 Forest Avenue, (store), Ridgewood, Queens, NY 11385 Tax Preparer/facilitator Permit 2020-02-16 ~ 2022-02-28
Denise M Whittam 60-20 Palmetto St, Ridgewood, NY 11385 Optometrist 2020-04-01 ~ 2021-03-31
Emma Skuybida 82-86 88 Lane, Glendale, NY 11385 Notary Public Appointment 2005-08-03 ~ 2010-08-31
Carmen Velasquez 7124 73rd Place, Glendale, NY 11385 Notary Public Appointment 2018-11-01 ~ 2023-10-31
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Competitor

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City RIDGEWOOD
Zip Code 11385
License Type Physician/Surgeon
License Type + County Physician/Surgeon + RIDGEWOOD

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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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