EVAN DAVID SHEHA (Credential# 2008507) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
EVAN DAVID SHEHA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065304. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 535 E 70th St, New York, NY 10021-4823. The current status is active.
| Licensee Name | EVAN DAVID SHEHA |
| Credential ID | 2008507 |
| Credential Number | 1.065304 |
| Credential Type | Physician/Surgeon |
| Business Address |
535 E 70th St New York NY 10021-4823 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-24 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2039130 | CSP.0073791 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-04-27 | 2020-04-27 - 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 |
|---|---|---|---|
| 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 |
| Catherine Marie De Stio | 535 E 70th St, New York, NY 10021-4823 | Physician Assistant | 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/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Evan Solarz | 11 Putnam Road, Scarsdale, NY 10583 | Physician/surgeon | ~ |
| Evan M Ginsberg | Po Box 530, Winhall, VT 05340-0530 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Evan Kurz | 59 Rymph Rd, Lagrangeville, NY 12540 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Evan P Cohen | 215 E 24th St Apt 110, New York, NY 10010-3808 | Physician/surgeon | 2011-07-27 ~ 2012-07-31 |
| Evan J Tilley Md | 52 Newton St, Fairfield, CT 06824-6926 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Evan H Bellin Md | 47 Lispenard Ave, New Rochelle, NY 10801-4420 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Evan Wasserman Md | 34 Maple St, Norwalk, CT 06850-3815 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Evan M Benjamin | Ihs Hospital, Zuni, NM 87327 | Physician/surgeon | 1994-03-31 ~ 1995-03-31 |
| Evan Fox | 300 Hebron Avenue, Glastonbury, CT 06033 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Evan L Stepp Md | 145 N Lake Dr, Stamford, CT 06903-1009 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
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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).