STEVEN ASTAFIEV (Credential# 2052148) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
STEVEN ASTAFIEV is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065905-RES. The credential type is resident physician. The effective date is June 11, 2020. The expiration date is June 30, 2021. The business address is 129 York St Apt 5f, New Haven, CT 06511-5605. The current status is active.
| Licensee Name | STEVEN ASTAFIEV |
| Credential ID | 2052148 |
| Credential Number | 1.065905-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
129 York St Apt 5f New Haven CT 06511-5605 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-06-11 |
| Effective Date | 2020-06-11 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2049637 | CSP.0074162 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-06-16 | 2020-06-16 - 2021-02-28 | ACTIVE |
| Street Address | 129 YORK ST APT 5F |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5605 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brendan Barry | 129 York St Apt 5f, New Haven, CT 06511-5605 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marez Megalla | 129 York St Apt 5k, New Haven, CT 06511-5605 | Controlled Substance Registration for Practitioner | 2020-06-24 ~ 2021-02-28 |
| Eujin Yeo | 129 York St Apt 5b, New Haven, CT 06511-5605 | Resident Physician | 2020-06-08 ~ 2021-06-30 |
| Martin Joseph Carney | 129 York St Apt 3n, New Haven, CT 06511-5605 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Susan Linda Giampalmo | 129 York St Apt 4k, New Haven, CT 06511-5605 | Resident Physician | 2020-06-08 ~ 2021-06-30 |
| Sloane Elizabeth Heller | 129 York St Apt 4o, New Haven, CT 06511-5605 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Gabriel E Weingart | 129 York St Apt 5l, New Haven, CT 06511-5605 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Todd A Spock | 129 York St Apt 4d, New Haven, CT 06511-5605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric Lawrence Soriano | 129 York St Apt 4a, New Haven, CT 06511-5605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole M Pavlik | 129 York St Apt 4h, New Haven, CT 06511-5605 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Fahad Syed Hassan | 129 York St Apt 4b, New Haven, CT 06511-5605 | Resident Physician | 2015-06-25 ~ 2019-06-30 |
| Find all Licenses in zip 06511-5605 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark Steven Mcfarland | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2018-07-01 ~ 2023-06-30 |
| Daniel Steven Tylee | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2019-06-11 ~ 2023-06-30 |
| Steven Arthur Faerstain | 820 Harrison Avenue, Boston, MA 02118 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Steven Hool | Yale New Haven Hospital, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2019-06-30 |
| Steven R Madsen | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Andrew Steven Au | 1706 Avenue T, Brooklyn, NY 11229-3412 | Resident Podiatrist | 2020-07-01 ~ 2021-06-30 |
| Steven Jamaal Tucker | 360 State St Apt 1619, New Haven, CT 06510-3613 | Resident Dentist | 2020-07-01 ~ 2021-06-30 |
| Yan Zhu | 27 Brainerd Rd # B, Branford, CT 06405-6302 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jia Wei Tan | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Jin Woo Yoo | 44 Orange St Apt 317, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).