SAMANTHA JOAN PALMACCIO (Credential# 1498533) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
SAMANTHA JOAN PALMACCIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061690. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 51 Schuyler Ave, Stamford, CT 06902. The current status is active.
| Licensee Name | SAMANTHA JOAN PALMACCIO |
| Credential ID | 1498533 |
| Credential Number | 1.061690 |
| Credential Type | Physician/Surgeon |
| Business Address |
51 Schuyler Ave Stamford CT 06902 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-08-01 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1519742 | 1.061253-RES | Resident Physician | 2018-07-01 | 2018-07-01 - 2021-06-30 | ACTIVE |
| 1513979 | CSP.0068020 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-06-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 51 Schuyler Ave |
| City | Stamford |
| State | CT |
| Zip Code | 06902 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Neil P Dreyer | 51 Schuyler Ave, Stamford, CT 06902 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Sanjay Patel | 51 Schuyler Ave, Stamford, CT 06902-3730 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Neil P Dreyer Md | 51 Schuyler Ave, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gary J Slinsky Jr | 51 Schuyler Ave, Stamford, CT 06902 | Electrical Limited Journeyperson | 2020-04-27 ~ 2020-09-30 |
| Silvi M Simon | 51 Schuyler Ave, Stamford, CT 06902-3730 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
| Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
| Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
| Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
| Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06902 | |||
| City | Stamford |
| Zip Code | 06902 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Stamford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Samantha G Shankar | 123 Forest Ave, New Rochelle, NY 10804-4228 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samantha D'annunzio | 36 Stonewall Cir, West Harrison, NY 10604-1117 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samantha A Rai | 658 Grant Road, North Salem, NY 10560 | Physician/surgeon | 2002-09-09 ~ 2003-09-30 |
| Samantha G S Smith | 441 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Samantha Siegel | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Samantha M Jansson Md | 200 East 66th Street, Ny, NY 10065 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Samantha Douglas Baer | 78 Olive Street, New Haven, CT 06511 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Samantha A Franco | 7 Watch Hill Way, South Kingstown, RI 02879 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Joan R Flynn | P.o. Box 940, Old Lyme, CT 06071 | Physician/surgeon | 2014-11-01 ~ 2015-10-31 |
| Joan Bregstein | 615 W 131st St Fl 3, New York, NY 10027-7922 | Physician/surgeon | ~ |
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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).