SIMON A GRINGUT (Credential# 1490722) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2017. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SIMON A GRINGUT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058824-RES. The credential type is resident physician. The effective date is July 1, 2017. The expiration date is June 30, 2021. The business address is 661 Barclay Ave, Staten Island, NY 10312-6347. The current status is active.
| Licensee Name | SIMON A GRINGUT |
| Credential ID | 1490722 |
| Credential Number | 1.058824-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
661 Barclay Ave Staten Island NY 10312-6347 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-07-01 |
| Effective Date | 2017-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1431271 | CSP.0065889 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1163515 | CSP.0054691 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-06-21 | 2013-06-21 - 2015-02-28 | INACTIVE |
| 1163209 | 1.052155 | Physician/Surgeon | 2013-06-21 | 2013-10-01 - 2014-09-30 | INACTIVE |
| Street Address | 661 BARCLAY AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-6347 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Biana Volfinzon | 187 Arbutus Ave., Staten Island, NY 10312 | Physician/surgeon | ~ |
| Laren Encarnacion | 482 Wilson Avenue, Staten Island, NY 10312 | Registered Nurse | ~ |
| Joseph J Aliotta | 74 Robinson Ave, Staten Island, NY 10312 | Architect | 2020-08-01 ~ 2021-07-31 |
| David P Suarez | 3733 Richmond Avenue, Staten Island, NY 10312 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Raven Devincenzo Md | 59 Van Brunt St, Staten Island, NY 10312 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Yanina Gleyzer | 246 Hillcrest Street, Staten Island, NY 10312 | Master's Level Social Worker | 2019-10-01 ~ 2020-09-30 |
| Richard Louis Sosa | 15 Osage Lane, Staten Island, NY 10312 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Janice Riso | 241 Kinghorn St, Staten Island, NY 10312 | Resident Physician | 2015-07-01 ~ 2019-06-30 |
| Bedzet Vejselovski · E. V. Masonry | 169 Rathbun Ave, Staten Island, NY 10312 | Home Improvement Contractor | 2006-01-25 ~ 2006-11-30 |
| Frederick A Barbieri | 62 Covington Circle, Staten Island, NY 10312 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Find all Licenses in zip 10312 | |||
| City | STATEN ISLAND |
| Zip Code | 10312 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + STATEN ISLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Simon Peter Onderi | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2017-07-25 ~ 2019-06-30 |
| Simon Castro | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2018-07-01 ~ 2021-08-24 |
| Jonathan Simon Pourmorady | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Resident Physician | 2016-06-30 ~ 2021-06-30 |
| Simon P Abi-saleh | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
| Eric D Simon · Simon and Simon Tilemasters | 425 Geraldine Dr, Coventry, CT 06238 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| Simon & Simon LLC | 33 Glendale Ave, Hartford, CT 06106 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Simon & Simon Tilemasters LLC | 425 Geraldine Dr, Coventry, CT 06238 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Simon Levi Co Ltd | 9380 Sonoma Highway, Kenwood, CA 95452-9032 | Out of State Shipper Liquor | 2004-02-03 ~ 2005-02-02 |
| Simon Jr | 10 James Street, Danbury, CT 06810 | Lead Abatement Supervisor | 2002-11-19 ~ 2003-10-31 |
| Simon R Laplace Company | 180 Main St, Deep River, CT 06417 | Home Improvement Contractor | 2005-07-29 ~ 2005-11-30 |
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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).