CHELSEA M GENDVIL
Physical Therapist


Address: 131 Delaware Ave, Staten Island, NY 10304-3931

CHELSEA M GENDVIL (Credential# 1376991) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2018. The license expiration date date is December 31, 2018. The license status is INACTIVE.

Business Overview

CHELSEA M GENDVIL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.011166. The credential type is physical therapist. The effective date is January 1, 2018. The expiration date is December 31, 2018. The business address is 131 Delaware Ave, Staten Island, NY 10304-3931. The current status is inactive.

Basic Information

Licensee Name CHELSEA M GENDVIL
Credential ID 1376991
Credential Number 14.011166
Credential Type Physical Therapist
Business Address 131 Delaware Ave
Staten Island
NY 10304-3931
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2016-09-22
Effective Date 2018-01-01
Expiration Date 2018-12-31
Refresh Date 2019-04-05

Office Location

Street Address 131 DELAWARE AVE
City STATEN ISLAND
State NY
Zip Code 10304-3931

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Ashley Benvenuto 36 Wilson Street, Staten Island, NY 10304 Registered Nurse 2020-04-01 ~ 2021-03-31
Joseph J Ruggiero 60 Duncan St, Staten Isld, NY 10304 Professional Engineer 2014-02-01 ~ 2015-01-31
Sarah Klobocista 21 Vista Ave, Staten Island, NY 10304 Physician Assistant 2018-11-01 ~ 2019-10-31
Boundless Impact Group LLC 25 Copperleaf Terrace, Staten Island, NY 10304 Paid Solicitor 2019-08-13 ~ 2020-08-12
Richard J Trieste 48 Duncan St, Staten Island, NY 10304 Professional Engineer 2020-02-01 ~ 2021-01-31
Advanced Technology Select Fund Viii, LLC 163 Coventry Road, Staten Island, NY 10304 Securities - Exemptions 2019-11-12 ~
Sabrina J Lauriston 32 Delaware Street, Staten Island, NY 10304 Registered Nurse 2019-08-01 ~ 2020-07-31
John B Dimaano 800 Elbe Ave, Staten Island, NY 10304 Registered Nurse 2019-04-01 ~ 2020-03-31
Nadezda A Tretyakova 54 Sunrise Terrace, Staten Island, NY 10304 Physician/surgeon 2017-11-01 ~ 2018-10-31
Bruce Sosler 27 Gateway Drive, Staten Island, NY 10304 Physician/surgeon 2017-08-01 ~ 2018-07-31
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Competitor

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City STATEN ISLAND
Zip Code 10304
License Type Physical Therapist
License Type + County Physical Therapist + STATEN ISLAND

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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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