ASHLEY M ROQUE
Resident Physician


Address: Apt 508, New York, NY 10069

ASHLEY M ROQUE (Credential# 1490944) 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.

Business Overview

ASHLEY M ROQUE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059046-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 Apt 508, New York, NY 10069. The current status is active.

Basic Information

Licensee Name ASHLEY M ROQUE
Credential ID 1490944
Credential Number 1.059046-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address Apt 508
New York
NY 10069
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

Other licenses

ID Credential Code Credential Type Issue Term Status
1415983 CSP.0065147 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-04-05 2019-03-01 - 2021-02-28 INACTIVE
1410309 1.056263 Physician/Surgeon 2017-03-13 2018-09-01 - 2019-08-31 INACTIVE

Office Location

Street Address Apt 508
City New York
State NY
Zip Code 10069

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Maheshwaran Sivarajah 180 Riverside Boulevard, New York, NY 10069 Physician/surgeon 2020-07-01 ~ 2021-06-30
Herbert N Ehrlich 200 Riverside Blvd., New York, NY 10069 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Rachel Sullivan Md 60 Riverside Boulevard, New York, NY 10069 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Sanjay K Gupta Apt 3402, New York, NY 10069 Physician/surgeon 2017-01-01 ~ 2017-12-31
Nanette Silverberg 140 Riverside Boulevard, Apt 703, Brooklyn, NY 10069 Physician/surgeon ~
Nidhi Singh 100 Riverside Boulevard, New York, NY 10069 Controlled Substance Registration for Practitioner 2015-03-18 ~ 2017-02-28
Carter E Wyckoff 200 Riverside Blvd #16-g, New York, NY 10069 Real Estate Salesperson 2002-03-06 ~ 2002-05-31
Catherine L Rinaldi 220 Riverside Blvd # 35c, New York, NY 10069 Real Estate Salesperson 2008-05-13 ~ 2009-05-31
Diana Anca 100 Riverside Blvd, New York, NY 10069 Physician/surgeon 2016-04-01 ~ 2017-03-31
Jairo Rodriguez 220 Riverside Blvd, New York, NY 10069 Chiropractor 2015-02-01 ~ 2016-01-31
Find all Licenses in zip 10069

Competitor

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City New York
Zip Code 10069
License Type Resident Physician
License Type + County Resident Physician + 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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