CHRISTINE L AMENDOLA PA
Controlled Substance Registration for Practitioner


Address: 56 Eastview Dr, Valhalla, NY 10595

CHRISTINE L AMENDOLA PA (Credential# 396135) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

CHRISTINE L AMENDOLA PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037041. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 56 Eastview Dr, Valhalla, NY 10595. The current status is inactive.

Basic Information

Licensee Name CHRISTINE L AMENDOLA PA
Credential ID 396135
Credential Number CSP.0037041
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 56 Eastview Dr
Valhalla
NY 10595
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2005-02-16
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
743330 23.001581 Physician Assistant 2005-01-03 2013-08-01 - 2014-07-31 INACTIVE

Office Location

Street Address 56 EASTVIEW DR
City VALHALLA
State NY
Zip Code 10595

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Sahil Munjal 100 Woods Road, Valhalla, NY 10595 Resident Physician 2017-07-01 ~ 2021-06-30
Isaac H. Shalom Westchester Medical Center, New York, NY 10595 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Emma Caitlin Mason 45 Pamela Lane, Valhalla, NY 10595 Registered Nurse 2020-05-01 ~ 2021-04-30
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Competitor

Search similar business entities

City VALHALLA
Zip Code 10595
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + VALHALLA

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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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