JAMES J BIVONA MD
Controlled Substance Registration for Practitioner


Address: 146 Hempstead Ave, Rockville Centre, NY 11570

JAMES J BIVONA MD (Credential# 239531) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is May 7, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

JAMES J BIVONA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0029893. The credential type is controlled substance registration for practitioner. The effective date is May 7, 2019. The expiration date is February 28, 2021. The business address is 146 Hempstead Ave, Rockville Centre, NY 11570. The current status is active.

Basic Information

Licensee Name JAMES J BIVONA MD
Credential ID 239531
Credential Number CSP.0029893
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 146 Hempstead Ave
Rockville Centre
NY 11570
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2000-07-28
Effective Date 2019-05-07
Expiration Date 2021-02-28
Refresh Date 2019-05-09

Other licenses

ID Credential Code Credential Type Issue Term Status
556377 1.038789 Physician/Surgeon 2000-06-23 2019-12-01 - 2020-11-30 ACTIVE

Office Location

Street Address 146 HEMPSTEAD AVE
City ROCKVILLE CENTRE
State NY
Zip Code 11570

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Frank Argondizzo 56 Berkshire Rd, Rockville Centre, NY 11570 Professional Engineer 2020-02-01 ~ 2021-01-31
John J. Ferro 229 Harvard Avenue, Rockville Centre, NY 11570 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
Brian M Bercarich 141 Maple Avenue, Rockville Centre, NY 11570 Professional Engineer 2020-02-01 ~ 2021-01-31
Madeline Marie Fitzpatrick 66 Arlington Avenue, Rockville Centre, NY 11570 Athletic Trainer 2019-12-01 ~ 2020-11-30
Robert Frederick Malacoff 91 Muirfield Road, Rockville Centre, NY 11570 Physician/surgeon 1976-10-22 ~ 1980-12-31
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Competitor

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City ROCKVILLE CENTRE
Zip Code 11570
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + ROCKVILLE CENTRE

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James L Mcneil P.o. Box 401, Cloudcroft, NM 88317 Controlled Substance Registration for Practitioner 1995-09-11 ~ 1996-02-28
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James L Sacksteder Po Box 962, Stockbridge, MA 01262 Controlled Substance Registration for Practitioner 1994-02-18 ~ 1996-02-01
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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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