ANDREW W BASTA DMD
Controlled Substance Registration for Practitioner


Address: 1 Sheridan Ave, Congers, NY 10920

ANDREW W BASTA DMD (Credential# 379381) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 22, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

ANDREW W BASTA DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0035685. The credential type is controlled substance registration for practitioner. The effective date is March 22, 2019. The expiration date is February 28, 2021. The business address is 1 Sheridan Ave, Congers, NY 10920. The current status is active.

Basic Information

Licensee Name ANDREW W BASTA DMD
Credential ID 379381
Credential Number CSP.0035685
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1 Sheridan Ave
Congers
NY 10920
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-08-23
Effective Date 2019-03-22
Expiration Date 2021-02-28
Refresh Date 2019-03-25

Other licenses

ID Credential Code Credential Type Issue Term Status
703754 2.009302 Dentist 2004-05-25 2019-04-01 - 2020-03-31 ACTIVE

Office Location

Street Address 1 Sheridan ave
City Congers
State NY
Zip Code 10920

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Nicholas Estis 44 Foltim Way, Congers, NY 10920 Physician Assistant 2020-08-01 ~ 2021-07-31
Kashi N Ray 4 Beth Lane, Congers, NY 10920 Architect 2018-08-01 ~ 2019-07-31
Guillermo E Sanchez 210 S. Conger Ave, Congers, NY 10920 Registered Nurse 2020-05-01 ~ 2021-04-30
Arthur W Zoubek 230 Foltim Way, Congers, NY 10920 Respiratory Care Practitioner 2020-03-01 ~ 2021-02-28
Cynthia Poslusny Duggan 30 Von Beaste Ln, Congers, NY 10920 Professional Engineer 2020-02-01 ~ 2021-01-31
Mariakutty M George 134 New York Avenue, Congers, NY 10920 Registered Nurse 2018-10-01 ~ 2019-09-30
Vladimir Shabin 235 South Congers Ave, Congers, NY 10920 Professional Engineer 2020-02-01 ~ 2021-01-31
Paul J Shea 52 Ohio Avenue, Congers, NY 10920 Notary Public Appointment 2006-10-12 ~ 2011-10-31
Anthony Ferrante 17 Wells Avenue, Congers, NY 10920 Notary Public Appointment 2007-08-24 ~ 2012-08-31
Katherine A Mangan 25 North Conger Avenue, Congers, NY 10920 Registered Nurse 2020-02-01 ~ 2021-01-31
Find all Licenses in zip 10920

Competitor

Search similar business entities

City Congers
Zip Code 10920
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Congers

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Yong-son Basta Md 57 Hickok Rd, New Canaan, CT 06840 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Kimberly Elizabeth Basta 3143 Edgemere Dr, Rochester, NY 14612-1123 Controlled Substance Registration for Practitioner 2020-06-19 ~ 2021-02-28
Andrew Kornstein Md PC 539 Danbury Rd, Wilton, CT 06897-2216 Controlled Substance Registration for Practitioner 2015-11-12 ~ 2017-02-28
Richard L Yap Md 151 Andrew Ave Apt 85, Naugatuck, CT 06770 Controlled Substance Registration for Practitioner 2003-03-01 ~ 2004-02-28
Andrew J Yoon 318 Elm St Apt A4, New Haven, CT 06511-4772 Controlled Substance Registration for Practitioner 2008-09-30 ~ 2009-02-28
Andrew Cha 24 Hospital Ave, Danbury, CT 06810-6077 Controlled Substance Registration for Practitioner 2013-03-07 ~ 2015-02-28
Andrew Oh 205 Church St Apt 2j, New Haven, CT 06510-1895 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Andrew Lim 81 Fieldstone Run, Farmington, CT 06032-2741 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Andrew E Kim Md 2 Foxhall Rd, Newtown, PA 18940-2930 Controlled Substance Registration for Practitioner 2015-06-15 ~ 2017-02-28
Andrew D Stiles 201 Ann St Apt 305, Hartford, CT 06103-2000 Controlled Substance Registration for Practitioner 2015-07-27 ~ 2017-02-28

Improve Information

Please comment or provide details below to improve the information on ANDREW W BASTA DMD.

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).

Trending Searches