LEVY WALLACE
Resident Physician


Address: 50 Davenport Ave Apt 3m, New Rochelle, NY 10805

LEVY WALLACE (Credential# 2057221) 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

LEVY WALLACE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.066256-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 50 Davenport Ave Apt 3m, New Rochelle, NY 10805. The current status is active.

Basic Information

Licensee Name LEVY WALLACE
Credential ID 2057221
Credential Number 1.066256-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 50 Davenport Ave Apt 3m
New Rochelle
NY 10805
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 2020-06-19

Office Location

Street Address 50 Davenport Ave apt 3M
City New Rochelle
State NY
Zip Code 10805

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Cindy Munguia 7 Hanford Ave Apt 1, New Rochelle, NY 10805 Dentist ~
Patricia Pugni 153 Meadow Lane, New Rochelle, NY 10805 Advanced Practice Registered Nurse 2020-07-01 ~ 2021-06-30
Katharine Victoria Ferrante 22 North Avenue, New Rochelle, NY 10805 Registered Nurse 2020-08-01 ~ 2021-07-31
Bob Borja 720 Pelham Road, New Rochelle, NY 10805 Registered Nurse ~
Shakia T Amaro 140 Pelham Rd, New Rochelle, NY 10805 Youth Camp Director 2020-06-11 ~
Richard L Kahn 770 Davenport Ave, New Rochelle, NY 10805 Physician/surgeon 2020-08-01 ~ 2021-07-31
Alec Louis Pura Cruz 184 Drake Ave, New Rochelle, NY 10805 Registered Nurse 2020-07-01 ~ 2021-06-30
Anthony Marciano Real Estate Inc 51 Windsor Oval, New Rochelle, NY 10805 Real Estate Broker 2009-04-01 ~ 2010-03-31
Patricia A Galente 16 Bancker Place, New Rochelle, NY 10805 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Marisa Robin Maravilla 39 Lafayette Street, New Rochelle, NY 10805 Registered Nurse 2020-04-01 ~ 2021-03-31
Find all Licenses in zip 10805

Competitor

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City New Rochelle
Zip Code 10805
License Type Resident Physician
License Type + County Resident Physician + New Rochelle

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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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