BENJAMIN JACOB LEVY (Credential# 1637124) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 8, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
BENJAMIN JACOB LEVY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0070413. The credential type is controlled substance registration for practitioner. The effective date is March 8, 2019. The expiration date is February 28, 2021. The business address is 3800 Blackstone Ave, Bronx, NY 10463. The current status is active.
Licensee Name | BENJAMIN JACOB LEVY |
Credential ID | 1637124 |
Credential Number | CSP.0070413 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
3800 Blackstone Ave Bronx NY 10463 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-03-08 |
Effective Date | 2019-03-08 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-03-11 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1626597 | 1.062420 | Physician/Surgeon | 2019-03-07 | 2019-10-01 - 2020-09-30 | ACTIVE |
1653206 | 1.062849-RES | Resident Physician | 2019-08-01 | 2019-08-01 - 2020-07-31 | ACTIVE |
Street Address | 3800 Blackstone Ave |
City | Bronx |
State | NY |
Zip Code | 10463 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jordan Matlovsky | 3050 Fairfield Ave, Bronx, NY 10463 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
Barry J Kanner Md | 3130 Netherland Ave, Bronx, NY 10463 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Karen L Brooks | 3363 Sedgwick Ave. Apt, 2n, Bronx, NY 10463 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
Roslyn M. Cusack | 474 W 238th Street, Bronx, NY 10463 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Martin A Drooker | 2500 Johnson Avenue, Apt. 18m, Bronx, NY 10463 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Yvelisse Aybar | 3850 Sedgwick Avenue, Bronx, NY 10463 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
Elliot Weiner | 3701 Henry Hudson Parkway, Bronx, NY 10463 | Psychologist | ~ |
Jamie Lee Diaz Monsale | 3611 Henry Hudson Parkway, Apt 5e, Bronx, NY 10463 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Gerald Pontones | 60 Knolls Crescent 2j, Bronx, NY 10463 | Home Improvement Salesperson | 2020-03-09 ~ 2020-11-30 |
Iniva R Ngaka | 2287 Johnson Avenue Apt. 11c, Bronx, NY 10463 | Dentist | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 10463 |
City | Bronx |
Zip Code | 10463 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Bronx |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Benjamin Levy Md | 47 Westwood Rd, W Hartford, CT 06117 | Controlled Substance Registration for Practitioner | 1997-03-01 ~ 1998-02-28 |
Tal S M Levy | 28 Pine Rdg, Woodbridge, CT 06525-1816 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Jessica L. Levy | 74 Pennsylvania Ave, Tuckahoe, NY 10707 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Lewis L Levy Md | 5 Durham Rd, Guilford, CT 06437 | Controlled Substance Registration for Practitioner | 2008-03-01 ~ 2009-02-28 |
Eric Levy Md | 15 Valley Dr, Greenwich, CT 06831-5205 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Steven A Levy Vmd | 23 Dionigi Dr, Durham, CT 06422-2916 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Stephen N Levy Md | 40 Cross St Ste 220, Norwalk, CT 06851 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2004-12-30 |
Elliott M Levy | 166 Linden St, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 1994-03-03 ~ 1996-03-01 |
Nicole Levy | 56 Franklin St, Waterbury, CT 06706-1253 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Lauren L Levy | 333 E 46th St Apt 7b, New York, NY 10017-7428 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
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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).