DURETTI T FUFA
Physician/surgeon


Address: 110 E 97th St Ph, New York, NY 10029-7208

DURETTI T FUFA (Credential# 2054084) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is PENDING.

Business Overview

DURETTI T FUFA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is 110 E 97th St Ph, New York, NY 10029-7208. The current status is pending.

Basic Information

Licensee Name DURETTI T FUFA
Credential ID 2054084
Credential Number 1
Credential Type Physician/Surgeon
Business Address 110 E 97th St Ph
New York
NY 10029-7208
Business Type INDIVIDUAL
Status PENDING - PENDING
Refresh Date 2020-06-11

Office Location

Street Address 110 E 97TH ST PH
City NEW YORK
State NY
Zip Code 10029-7208

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Tamara Machelle Hawkins 2130 1st Avenue, New York, NY 10029 Registered Nurse 2020-05-01 ~ 2021-04-30
Kenneth Thompson 324 East 108th Street 16e, New York, NY 10029 Master's Level Social Worker 2018-09-04 ~ 2019-09-30
Maria Vivienne Kosovsky 1 Gustav Levy Pl, New York, NY 10029 Physician/surgeon 2018-11-20 ~ 2019-08-31
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City NEW YORK
Zip Code 10029
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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Improve Information

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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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