DAPHNA YAEL GELBLUM (Credential# 1460616) 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.
DAPHNA YAEL GELBLUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0067081. 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 500 Westchester Ave, West Harrison, NY 10604-3200. The current status is active.
| Licensee Name | DAPHNA YAEL GELBLUM |
| Credential ID | 1460616 |
| Credential Number | CSP.0067081 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
500 Westchester Ave West Harrison NY 10604-3200 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-11-09 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-14 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1431218 | 1.056982 | Physician/Surgeon | 2017-09-06 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 500 WESTCHESTER AVE |
| City | WEST HARRISON |
| State | NY |
| Zip Code | 10604-3200 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Borys R Mychalczak | 500 Westchester Ave Dept Of, West Harrison, NY 10604-3200 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stefania Maria Perez | 121 Macri Ave, West Harrison, NY 10604 | Registered Nurse | ~ |
| Danielle Piacente | 56 Underhill Avenue, West Harrison, NY 10604 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly Papachristou | 1 Golden Pond Road, West Harrison, NY 10604 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Naixi Li | 83 Park Lane, West Harrison, NY 10604 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lee C Toterhi | 160 Gainsborg Ave E, West Harrison, NY 10604 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emanuel I Wurm Do | Westchester Medical Group PC, White Plains, NY 10604 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Edward G Swaby | 25 Chadwick Rd, White Plains, NY 10604 | Architect | 2018-08-01 ~ 2019-07-31 |
| Christina C Blanco | 210 Westchester Avenue, White Plains, NY 10604 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Caleb K Charny Md | 210 Westchester Ave, White Plains, NY 10604 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Paul C Moloney Jr · Paul C Moloney Inc | 12 High Ridge Road, West Harrison, NY 10604 | Swimming Pool Builder - In Ground | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10604 | |||
| City | WEST HARRISON |
| Zip Code | 10604 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WEST HARRISON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Juliane Yael Cruz | 12606 Burbank Blvd Apt 5, Valley Village, CA 91607-4756 | Controlled Substance Registration for Practitioner | 2019-05-28 ~ 2021-02-28 |
| 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 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ryan S Lee | 31 Bay Dr, Canton, MA 02021-4181 | Controlled Substance Registration for Practitioner | 2020-01-21 ~ 2021-02-28 |
Please comment or provide details below to improve the information on DAPHNA YAEL GELBLUM.
| 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).