NISHA MATHEW (Credential# 1988469) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
NISHA MATHEW is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004716. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 3 Cresthill Dr Apt C, Nyack, NY 10960-2713. The current status is active.
| Licensee Name | NISHA MATHEW |
| Credential ID | 1988469 |
| Credential Number | 23.004716 |
| Credential Type | Physician Assistant |
| Business Address |
3 Cresthill Dr Apt C Nyack NY 10960-2713 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-16 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1997768 | CSP.0073005 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-01-16 | 2020-01-16 - 2021-02-28 | ACTIVE |
| Street Address | 3 CRESTHILL DR APT C |
| City | NYACK |
| State | NY |
| Zip Code | 10960-2713 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kier B Levesque | 49 Third Ave, Nyack, NY 10960 | Architect | 2020-08-01 ~ 2021-07-31 |
| Shivani B. Patel Do | 8 Riverton Drive, Nyack, NY 10960 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ann Mary Desloges | 39 Essex Green Lane, Peabody, MA 10960 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Siobhan Ann Masterson | 20 North Broadway, Nyack, NY 10960 | Licensed Clinical Social Worker | ~ |
| Eric Francis Hammermeister | 215 N Highland Ave, Nyack, NY 10960 | Emergency Medical Technician | ~ |
| Ricky M. Miano | 38c Gail Dr., Nyack, NY 10960 | Backflow Prevention Device Tester | 2017-12-31 ~ 2020-12-31 |
| Susan Ellen Morer | 4 Rockland Place, Nyack, NY 10960 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Luke A Daur | 107 S Broadway, Nyack, NY 10960 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Dominick R Pilla | 2 Lavetta, Nyack, NY 10960 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Carl Ian Graham | 118 First Ave, Nyack, NY 10960 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 10960 | |||
| City | NYACK |
| Zip Code | 10960 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NYACK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nisha Manansingh Pa | 160 Benefield Blvd, Peekskill, NY 10566 | Physician Assistant | 2010-04-01 ~ 2011-03-31 |
| Nisha Rana Pa | 77 Hidden Valley Drive, Meriden, CT 06451 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Nisha Manufacturing Company Pvt Ltd | B-89 Sector 67 Distt. Gautam Budh Nagar, Noida Utter Pradesh, 201301 | Manufacturer of Bedding & Upholstered Furniture | 2014-05-01 ~ 2015-04-30 |
| Nisha T Manickam Do | 65 Laurel Rd, New Haven, CT 06515-2423 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Nisha Malhotra | 365 Montauk Ave, New London, CT 06320-4700 | Physician/surgeon | 2014-08-01 ~ 2015-07-31 |
| Nisha Suda | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-06-30 ~ 2020-06-30 |
| Mathew P Daluz | 34 Keyes St, Unionville, CT 06085-1120 | Occupational Therapist Assistant | 2011-08-01 ~ 2013-07-31 |
| Reena Ann Mathew | 102 Esplanade Place, Stafford, TX 77477 | Physical Therapist Assistant | 2010-12-21 ~ 2011-08-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| John Mathew | 10 Lattice Court, Melville, NY 11747 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on NISHA MATHEW.
| 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).