MIKHAIL BABAYAN
Resident Physician


Address: 6245 Amboy Rd, Staten Island, NY 10309-3138

MIKHAIL BABAYAN (Credential# 2046618) 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 20, 2023. The license status is ACTIVE.

Business Overview

MIKHAIL BABAYAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065624-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 20, 2023. The business address is 6245 Amboy Rd, Staten Island, NY 10309-3138. The current status is active.

Basic Information

Licensee Name MIKHAIL BABAYAN
Credential ID 2046618
Credential Number 1.065624-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 6245 Amboy Rd
Staten Island
NY 10309-3138
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-07-01
Effective Date 2020-07-01
Expiration Date 2023-06-20
Refresh Date 2020-05-21

Other licenses

ID Credential Code Credential Type Issue Term Status
2050632 CSP.0074244 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-06-01 2020-06-01 - 2021-02-28 ACTIVE

Office Location

Street Address 6245 AMBOY RD
City STATEN ISLAND
State NY
Zip Code 10309-3138

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Competitor

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City STATEN ISLAND
Zip Code 10309
License Type Resident Physician
License Type + County Resident Physician + STATEN ISLAND

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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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