MARLON S ROSENBAUM (Credential# 1340555) 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 ACTIVE.
MARLON S ROSENBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062294. 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 161 Fort Washington Ave, New York, NY 10032. The current status is active.
| Licensee Name | MARLON S ROSENBAUM |
| Credential ID | 1340555 |
| Credential Number | CSP.0062294 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
161 Fort Washington Ave New York NY 10032 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-04-04 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1313579 | 1.054854 | Physician/Surgeon | 2016-01-07 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 161 Fort Washington Ave |
| City | New York |
| State | NY |
| Zip Code | 10032 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa F Imundo | 161 Fort Washington Ave, New York, NY 10036 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael B Collins | 161 Fort Washington Ave, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Matthew D Bacchetta | 161 Fort Washington Ave, New York, NY 10032-3729 | Physician/surgeon | 2017-03-29 ~ 2018-02-28 |
| George D Dangas Md | 161 Fort Washington Ave, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2009-03-31 ~ 2011-02-28 |
| Daniel H Smith Md | 161 Fort Washington Ave, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Diljeet K Singh Md | 161 Fort Washington Ave, New York, NY 10032 | Physician/surgeon | 2001-01-08 ~ 2001-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca H C Yeh | 835 Riverside Drive, New York, NY 10032 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Olga M Brown | 621 W 169 Street, New York City, NY 10032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J Howard Williams | 835 Riverside Dr Apt #1-d, New York, NY 10032 | Landscape Architect | 2018-08-01 ~ 2019-07-31 |
| Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Mitchell S Elkind | 710 W. 168th Street, New York, NY 10032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Emily Chug | 100 Haven Ave, New York, NY 10032 | Physical Therapist | ~ |
| Rainer N Mittl | 635 West 165th Street, New York, NY 10032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Tristan Timothy Sands | 180 Fort Washington Ave, 5th Floor, New York, NY 10032 | Physician/surgeon | ~ |
| Thread Connects, Inc. · Thread | 611 W 163rd St, New York, NY 10032 | Public Charity | 2020-03-24 ~ 2020-11-30 |
| Mitchell Wade Dillon | 565 West 169th Street, New York, NY 10032 | Genetic Counselor | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10032 | |||
| City | New York |
| Zip Code | 10032 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New York |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zoe A Rosenbaum | 100 Temple St Apt 306, New Haven, CT 06510-2728 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Stanley Rosenbaum Md | 144 Westwood Rd, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jeremy Rosenbaum Simon Md | 422 Whitney Ave Apt 7, New Haven, CT 06511-2346 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Nathan Rosenbaum Md | 55 Pondview Avenue, Trumbull, CT 06611 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Susan J Rosenbaum Md | 257 Meetinghouse Road, Jenkintown, PA 19046 | Controlled Substance Registration for Practitioner | 2001-03-01 ~ 2002-02-28 |
| Marlon Castillo Md | 31 Strawberry Hill Ave Entrance B, Stamford, CT 06902-2681 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Roy I Rosenbaum · Rosenbaum Design Group | 2001 Marcus Ave Suite E 10, Lake Success, NY 11042 | Architect | 2019-08-01 ~ 2020-07-31 |
| Fredy Rosenbaum Foundation | 101 Lewis St Apt B, Greenwich, CT 06830-6669 | Public Charity | 2014-12-01 ~ 2015-11-30 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Yale University Dept of Biology · Joel L Rosenbaum Phd | Kline Biology Tower, New Haven, CT 06520 | Controlled Substance Laboratory | 1992-02-14 ~ 1993-01-31 |
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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).