CHRISTOPHER JAMES MALYNOWSKI
Physician Assistant


Address: 510 W 123rd St Apt 22, New York, NY 10027-5004

CHRISTOPHER JAMES MALYNOWSKI (Credential# 1521228) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.

Business Overview

CHRISTOPHER JAMES MALYNOWSKI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004360. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 510 W 123rd St Apt 22, New York, NY 10027-5004. The current status is active.

Basic Information

Licensee Name CHRISTOPHER JAMES MALYNOWSKI
Credential ID 1521228
Credential Number 23.004360
Credential Type Physician Assistant
Business Address 510 W 123rd St Apt 22
New York
NY 10027-5004
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-12-21
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-06-13

Other licenses

ID Credential Code Credential Type Issue Term Status
1605077 CSP.0069652 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-12-21 2018-12-21 - 2021-02-28 ACTIVE

Office Location

Street Address 510 W 123RD ST APT 22
City NEW YORK
State NY
Zip Code 10027-5004

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Competitor

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City NEW YORK
Zip Code 10027
License Type Physician Assistant
License Type + County Physician Assistant + 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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