DERRICK NITSCHE
Physician/surgeon


Address: 221 W 29th St # 12d, New York, NY 10001-5580

DERRICK NITSCHE (Credential# 1375022) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 6, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

DERRICK NITSCHE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055925. The credential type is physician/surgeon. The effective date is May 6, 2020. The expiration date is March 31, 2021. The business address is 221 W 29th St # 12d, New York, NY 10001-5580. The current status is active.

Basic Information

Licensee Name DERRICK NITSCHE
Credential ID 1375022
Credential Number 1.055925
Credential Type Physician/Surgeon
Business Address 221 W 29th St # 12d
New York
NY 10001-5580
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-11-18
Effective Date 2020-05-06
Expiration Date 2021-03-31
Refresh Date 2020-05-07

Other licenses

ID Credential Code Credential Type Issue Term Status
1377599 CSP.0063978 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2016-11-19 2020-02-18 - 2021-02-28 ACTIVE

Office Location

Street Address 221 W 29TH ST # 12D
City NEW YORK
State NY
Zip Code 10001-5580

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Competitor

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City NEW YORK
Zip Code 10001
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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