PIYAL ALAM
Physician/surgeon


Address: 80-59 222nd St, Hollis Hills, NY 11427

PIYAL ALAM (Credential# 1417029) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

PIYAL ALAM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056537-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 80-59 222nd St, Hollis Hills, NY 11427. The current status is active.

Basic Information

Licensee Name PIYAL ALAM
Credential ID 1417029
Credential Number 1.056537-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 80-59 222nd St
Hollis Hills
NY 11427
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2017-06-14
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-01-21

Other licenses

ID Credential Code Credential Type Issue Term Status
1431982 CSP.0065968 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-06-17 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 80-59 222nd St
City Hollis Hills
State NY
Zip Code 11427

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City Hollis Hills
Zip Code 11427
License Type Physician/Surgeon
License Type + County Physician/Surgeon + Hollis Hills

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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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