KATHLEEN MANICE FELISCA
Resident Physician


Address: 12004 225th St, Cambria Heights, NY 11411-2118

KATHLEEN MANICE FELISCA (Credential# 1657124) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

KATHLEEN MANICE FELISCA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063061-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 12004 225th St, Cambria Heights, NY 11411-2118. The current status is active.

Basic Information

Licensee Name KATHLEEN MANICE FELISCA
Credential ID 1657124
Credential Number 1.063061-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 12004 225th St
Cambria Heights
NY 11411-2118
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-06-12
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1657885 CSP.0071036 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-05-17 2019-05-17 - 2021-02-28 ACTIVE

Office Location

Street Address 12004 225TH ST
City CAMBRIA HEIGHTS
State NY
Zip Code 11411-2118

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Melanie B Germain 117-46 228th Street, Cambria Heights, NY 11411 Master's Level Social Worker 2020-06-01 ~ 2021-05-31
Julian Jones 115-84 225 St., Cambria Heights, NY 11411 Registered Nurse 2020-06-01 ~ 2021-05-31
Ralph Benjamin 11731 Nashville Blvd, Cambria Heights, NY 11411 Physician/surgeon 2020-04-01 ~ 2021-03-31
Marjorie Gaspard 218-14 118th Ave, Cambria Heights, NY 11411 Licensed Practical Nurse 2020-02-01 ~ 2021-01-31
Shante Satchell 120-48 223rd Street, Cambria Heights, NY 11411 Notary Public Appointment 2018-01-29 ~ 2023-01-31
Deborah Vanessa York 11943 227th Street, Cambria Heights, NY 11411 Registered Nurse 2018-07-01 ~ 2019-06-30
Victor Hall 253-06 116th Ave., Cambria Heightts, NY 11411 Medication Administration Certification 2018-10-31 ~ 2020-10-31
Anthony J Teil 115-114 23rd St, Cqambria Heights, NY 11411 Home Improvement Salesperson 2007-02-01 ~ 2007-11-30
Godfrey N/a Stewart 228-35 114th Terrace, Queens, NY 11411 Master's Level Social Worker ~
Chinonye O Edeh 115-95 219th Street, Cambria Heights, NY 11411 Registered Nurse 2016-07-18 ~ 2017-07-31
Find all Licenses in zip 11411

Competitor

Search similar business entities

City CAMBRIA HEIGHTS
Zip Code 11411
License Type Resident Physician
License Type + County Resident Physician + CAMBRIA HEIGHTS

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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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