DAMIANOS KOKKINIDIS
Resident Physician


Address: 1450 2nd Ave, New York, NY 10021-3005

DAMIANOS KOKKINIDIS (Credential# 2020948) 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, 2023. The license status is ACTIVE.

Business Overview

DAMIANOS KOKKINIDIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065057-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2023. The business address is 1450 2nd Ave, New York, NY 10021-3005. The current status is active.

Basic Information

Licensee Name DAMIANOS KOKKINIDIS
Credential ID 2020948
Credential Number 1.065057-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 1450 2nd Ave
New York
NY 10021-3005
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-07-01
Effective Date 2020-07-01
Expiration Date 2023-06-30
Refresh Date 2020-03-26

Other licenses

ID Credential Code Credential Type Issue Term Status
2033761 1.066150 Physician/Surgeon 2020-06-08 2020-06-08 - 2021-06-30 ACTIVE
2044142 1.065498-RES Resident Physician 2020-07-01 2020-07-01 - 2021-06-30 ACTIVE

Office Location

Street Address 1450 2ND AVE
City NEW YORK
State NY
Zip Code 10021-3005

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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
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Competitor

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City NEW YORK
Zip Code 10021
License Type Resident Physician
License Type + County Resident Physician + NEW YORK

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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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