CATHERINE MARIE DE STIO (Credential# 1651355) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
CATHERINE MARIE DE STIO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004470. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 535 E 70th St, New York, NY 10021-4823. The current status is active.
Licensee Name | CATHERINE MARIE DE STIO |
Credential ID | 1651355 |
Credential Number | 23.004470 |
Credential Type | Physician Assistant |
Business Address |
535 E 70th St New York NY 10021-4823 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2019-06-06 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-09 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1666757 | CSP.0071431 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-06 | 2019-06-06 - 2021-02-28 | ACTIVE |
Street Address | 535 E 70TH ST |
City | NEW YORK |
State | NY |
Zip Code | 10021-4823 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Evan David Sheha | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Darryl B Sneag | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Gregory R Saboeiro | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Alissa J Burge | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Peter D Fabricant | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Shari T Jawetz | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Sravisht Iyer | 535 E 70th St, New York, NY 60661 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Meghan E Sahr | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-03-10 ~ 2021-03-31 |
Theodore T Miller | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Yoshimi Endo | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
John A Carrino | 535 E 70th St Fl 3, New York, NY 10021-4823 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Genewo Hong | 535 E 70th St Rm 853w, New York, NY 10021-4823 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Anuj Malhotra | 429 East 75th St, 5th Floor, New York, NY 10021 | Physician/surgeon | ~ |
Lenox Chemists Inc | 422 East 75th Street, New York, NY 10021 | Nonresident Pharmacy | ~ |
Katherine Nicole Day | 310 E 71st Street, New York, NY 10021 | Registered Nurse | ~ |
Jordan D Metzl Md | Hospital for Special Surgery, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Lisa F Schneider | 820 Park Avenue, New York, NY 10021 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Ryan C Ciambriello | 423 E 73rd St. Apt 2d, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Maxxwell S Crowley | 315 East 73 Rd Street Apt #4, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Jean P Simon | 36 E 70 Th Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Todd James Albert | 541 East 71st Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Russell F Warren Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 10021 |
City | NEW YORK |
Zip Code | 10021 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + NEW YORK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Catherine Sattler | 92 Camp Bethel Rd, Haddam, CT 06438-1346 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Rachel Christina Ricci | 15 Catherine Dr, Rocky Hill, CT 06067-4249 | Physician Assistant | ~ |
Catherine E Williams | 328 Maple Park Drive, Clarksville, TN 37040 | Physician Assistant | 2014-11-12 ~ 2015-04-30 |
Carly Catherine Krisavage | 27 Village Crossing, Niantic, CT 06357 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Sarah Catherine Spelsberg | 4447 Barnaby Dr, Jacksonville, FL 32217 | Physician Assistant | 2017-10-27 ~ 2018-09-30 |
Dominic E Vozzella | 19 Marie St, Milford, CT 06460-7632 | Physician Assistant | ~ |
Aimee Marie Jadav | 360 3rd St Ste 425, San Francisco, CA 94107-2164 | Physician Assistant | 2020-05-13 ~ 2021-02-28 |
G Marie Darrow Pa | 131 Kent Rd, New Milford, CT 06776-3485 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Marie E Brady | 40 Prospect St 1-2h, Norwalk, CT 06850 | Physician Assistant | 1993-12-01 ~ 1994-02-28 |
Ann Marie Schoppmann Pa | 11 Lisa Ln, Woodbridge, CT 06525 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
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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).