PALLAVI JOSHI (Credential# 2006614) 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.
PALLAVI JOSHI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064833-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 350 Beach Ave Unit Lt, Staten Island, NY 10306-4334. The current status is active.
Licensee Name | PALLAVI JOSHI |
Credential ID | 2006614 |
Credential Number | 1.064833-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
350 Beach Ave Unit Lt Staten Island NY 10306-4334 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-07-01 |
Effective Date | 2020-07-01 |
Expiration Date | 2021-06-30 |
Refresh Date | 2020-05-12 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2005002 | CSP.0073109 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-02-10 | 2020-02-10 - 2021-02-28 | ACTIVE |
2004757 | 1.065592-DO | Physician/Surgeon | 2020-05-14 | 2020-05-14 - 2021-01-31 | ACTIVE |
Street Address | 350 BEACH AVE UNIT LT |
City | STATEN ISLAND |
State | NY |
Zip Code | 10306-4334 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeffrey E Carucci | 75 Bay Terrace, Staten Island, NY 10306 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Tara Courtney Hilton | 39 Malone Avenue, Staten Island, NY 10306 | Registered Nurse | 2020-01-21 ~ 2020-11-30 |
Michael John Donovan | 71 Seventh St, Staten Island, NY 10306 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Steven K Lui | 38 Burbank Ave, Staten Island, NY 10306 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Thomas Abate | 58 Dale Ave, Staten Island, NY 10306 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Ralph J Giorgio | 63 Eve Ave, Staten Island, NY 10306 | Professional Engineer | 2018-02-01 ~ 2019-01-31 |
Elaine M Ricca | 118 Jacques Avenue, Staten Island, NY 10306 | Notary Public Appointment | 2013-12-01 ~ 2018-11-30 |
Jamien Scarpati | 28 Bache Ave, Staten Island, NY 10306 | Pharmacy Technician | 2002-05-28 ~ 2003-03-31 |
Donald R Leo | 337 Baden Place, Staten Island, NY 10306 | Crane Operator | 2005-11-26 ~ 2007-11-25 |
Olga Kuharenko | 156 Kiswick Street, Staten Island, NY 10306 | Master's Level Social Worker | 2016-03-01 ~ 2017-02-28 |
Find all Licenses in zip 10306 |
City | STATEN ISLAND |
Zip Code | 10306 |
License Type | Resident Physician |
License Type + County | Resident Physician + STATEN ISLAND |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Pallavi Basu | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
Pallavi Patil | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-03 ~ 2021-06-30 |
Pallavi Rath | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Neel Joshi | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
Pallavi LLC | 6 Belden Ave, Norwalk, CT 06850-3313 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
Pallavi P Gopal | 380 Mather Street, Hamden, CT 06514 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Pillai Pallavi Madhusoodhan | 80 Dekalb Ave, Brooklyn, NY 11201-5407 | Physician/surgeon | 2013-08-21 ~ 2014-05-31 |
Pallavi Nadendla | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Chandrana N Joshi | 223 West Third St, Oakboro, NC 28129 | Physician/surgeon | 1994-09-19 ~ 1995-11-30 |
Salil S Joshi | 91 Vicksburg Cv 234, Memphis, TN 38103 | Physician/surgeon | 2005-03-15 ~ 2005-11-30 |
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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).