JAMES D BOVIENZO DO
Controlled Substance Registration for Practitioner


Address: 100 W. 58th St, New York, NY 10019

JAMES D BOVIENZO DO (Credential# 332792) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

JAMES D BOVIENZO DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0033174. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 100 W. 58th St, New York, NY 10019. The current status is active.

Basic Information

Licensee Name JAMES D BOVIENZO DO
Credential ID 332792
Credential Number CSP.0033174
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 100 W. 58th St
New York
NY 10019
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2003-02-05
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
538060 1.000324-DO Physician/Surgeon 1991-08-08 2020-02-01 - 2021-01-31 ACTIVE
160619 CSP.0019517 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1993-06-22 - 1995-07-01 INACTIVE

Office Location

Street Address 100 W. 58th St
City New York
State NY
Zip Code 10019

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Competitor

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City New York
Zip Code 10019
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + New York

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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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