DAVID N ZUCKERBERG MD
Controlled Substance Registration for Practitioner


Address: 5 Long Pond Road, Waccabuc, NY 10597

DAVID N ZUCKERBERG MD (Credential# 218151) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.

Business Overview

DAVID N ZUCKERBERG MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028705. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2000. The expiration date is February 28, 2001. The business address is 5 Long Pond Road, Waccabuc, NY 10597. The current status is inactive.

Basic Information

Licensee Name DAVID N ZUCKERBERG MD
Credential ID 218151
Credential Number CSP.0028705
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 5 Long Pond Road
Waccabuc
NY 10597
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2000-02-29
Expiration Date 2001-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
555646 1.038056 Physician/Surgeon 1999-08-13 1999-11-22 - 2000-12-31 INACTIVE

Office Location

Street Address 5 LONG POND ROAD
City WACCABUC
State NY
Zip Code 10597

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Competitor

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City WACCABUC
Zip Code 10597
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WACCABUC

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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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