JESSY W AYALA
Physician Assistant


Address: 1540 Pelham Parkway, Bronx, NY 10461

JESSY W AYALA (Credential# 1690378) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 2, 2019. The license expiration date date is December 31, 2020. The license status is ACTIVE.

Business Overview

JESSY W AYALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004702. The credential type is physician assistant. The effective date is December 2, 2019. The expiration date is December 31, 2020. The business address is 1540 Pelham Parkway, Bronx, NY 10461. The current status is active.

Basic Information

Licensee Name JESSY W AYALA
Credential ID 1690378
Credential Number 23.004702
Credential Type Physician Assistant
Business Address 1540 Pelham Parkway
Bronx
NY 10461
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-12-02
Effective Date 2019-12-02
Expiration Date 2020-12-31
Refresh Date 2019-12-13

Office Location

Street Address 1540 Pelham Parkway
City Bronx
State NY
Zip Code 10461

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jae Hong Kim 2119 Colonial Ave., Bronx, NY 10461 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Kristy M Marmorato 1242 Rhinelander Ave, Bronx, NY 10461 Radiographer 2020-09-01 ~ 2021-08-31
Peter M Frisolone 2526 Maclay Avenue, Bronx, NY 10461 Embalmer 2020-08-01 ~ 2021-07-31
Sherin Zaman 2049 Saint Paul Ave, Bronx, NY 10461 Physician Assistant 2020-01-01 ~ 2020-12-31
Johanna Berberena 1138 Edison Avenue, Bronx, NY 10461 Master's Level Social Worker 2020-05-01 ~ 2021-04-30
Ellie E Martinez 2820 Middletown Rd, Bronx, NY 10461 Master's Level Social Worker 2020-04-01 ~ 2021-03-31
Christopher Morea 2964 Middletown Road, Bronx, NY 10461 Tax Preparer/facilitator Permit 2020-03-02 ~ 2022-03-31
Rakesh Raju Mahali 1150 Pelham Parkway S Apt # 3e, Bronx, NY 10461 Physician/surgeon 2020-05-01 ~ 2021-04-30
Yogangi Malhotra 1400 Pelham Pkwy S, Bronx, NY 10461 Physician/surgeon 2020-03-01 ~ 2021-02-28
Juan Carlos Perez 2863 Dudley Ave, Bronx, NY 10461 Dental Hygienist 2020-03-01 ~ 2021-02-28
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Competitor

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City Bronx
Zip Code 10461
License Type Physician Assistant
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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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