PHILLIP DAVID ZHANG
Resident Physician


Address: 240 E 86th St Apt 11e, New York, NY 10028-3036

PHILLIP DAVID ZHANG (Credential# 1524718) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

PHILLIP DAVID ZHANG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061396-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2021. The business address is 240 E 86th St Apt 11e, New York, NY 10028-3036. The current status is active.

Basic Information

Licensee Name PHILLIP DAVID ZHANG
Credential ID 1524718
Credential Number 1.061396-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 240 E 86th St Apt 11e
New York
NY 10028-3036
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-07-01
Effective Date 2018-07-01
Expiration Date 2021-06-30
Refresh Date 2020-05-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1518035 CSP.0068284 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-06-19 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 240 E 86TH ST APT 11E
City NEW YORK
State NY
Zip Code 10028-3036

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Olivia Z Hutchinson 121a East 83rd Street, New York, NY 10028 Physician/surgeon 2020-06-01 ~ 2021-05-31
Barry Sender 520 East 84th St, New York, NY 10028 Optician 2020-06-01 ~ 2021-05-31
Philip J Wagner 525 E. 86th Street, New York, NY 10028 Physician/surgeon 2020-06-01 ~ 2021-05-31
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Competitor

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City NEW YORK
Zip Code 10028
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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