ANTHONY M INTINTOLI MD (Credential# 371152) 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.
ANTHONY M INTINTOLI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0034942. 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 43 Mildred Ct, Nesconset, NY 11767-1605. The current status is active.
| Licensee Name | ANTHONY M INTINTOLI MD |
| Credential ID | 371152 |
| Credential Number | CSP.0034942 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
43 Mildred Ct Nesconset NY 11767-1605 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-05-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-02-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 559985 | 1.042403 | Physician/Surgeon | 2004-05-06 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 43 MILDRED CT |
| City | NESCONSET |
| State | NY |
| Zip Code | 11767-1605 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marian Wypyski | 18 Chivalry Lane, Nesconset, NY 11767 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Susan J Case-pasfield | 10 Barrett Court, Nesconset, NY 11767 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Paws of War Inc | 127-7 Smithtown Blvd., Nesconset, NY 11767 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Jennifer N Draney | 45 White Cliff Lane, Nesconset, NY 11767 | Notary Public Appointment | 2019-01-01 ~ 2023-12-31 |
| Tara F Stanislaw | 16 Meryl Lane, Nesconset, NY 11767 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Lien Lam | 103 Sheppard Ln, Nesconset, NY 11767 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Lok Yun Sung | 23 Deer Valley Drive, Nesconset, NY 11767 | Physician/surgeon | 2017-07-31 ~ 2018-05-31 |
| Jodi Laura Cohn | 4 Tiffany Way, Nesconset, NY 11767 | Registered Nurse | 2016-05-01 ~ 2017-04-30 |
| Thomas J Digiacomo | 4 Viking Ct, Nesconset, NY 11767 | Professional Engineer | 1995-01-19 ~ 1996-01-31 |
| Malcolm I Barkan | 32 Empress Pines Drive, Nesconset, NY 11767 | Professional Engineer | 2004-02-01 ~ 2005-01-31 |
| Find all Licenses in zip 11767 | |||
| City | NESCONSET |
| Zip Code | 11767 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NESCONSET |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony J Onofreo | 141 Coe Ave, Middletown, CT 06457-4732 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anthony C. Giannuzzi | 39 Mimosa Dr, Cos Cob, CT 06807-1402 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anthony Ndu | 167 Wooster St Apt 2, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2010-12-07 ~ 2013-02-28 |
| Anthony M King | 29 Haynes St Ste D, Manchester, CT 06040-4139 | Controlled Substance Registration for Practitioner | 2017-05-30 ~ 2019-02-28 |
| Anthony L Gonzalez | 187 Loeffler St, Brentwood, NY 11717-5806 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anthony J Craig | 44 Orange St Apt 320, New Haven, CT 06510-3132 | Controlled Substance Registration for Practitioner | 2008-09-08 ~ 2009-02-28 |
| Joseph R Anthony | 56 Franklin St, Waterbury, CT 06702 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Anthony Isedeh | 6 Brady Rd, Warren, NJ 07059-7006 | Controlled Substance Registration for Practitioner | 2020-02-14 ~ 2021-02-28 |
| Hassan Y Loutfi | 24 Anthony Rd, Bolton, CT 06043-7539 | Controlled Substance Registration for Practitioner | 2019-07-19 ~ 2021-02-28 |
| Anthony R Aceto Dpm | 4 Rosick Rd, Wallingford, CT 06492 | Controlled Substance Registration for Practitioner | 1999-03-01 ~ 2000-02-28 |
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| 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).