ROBERTA F SHAPIRO
Physician/surgeon


Address: 115 E 61st St Apt 10a, New York, NY 10065-8186

ROBERTA F SHAPIRO (Credential# 538113) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2018. The license expiration date date is September 30, 2019. The license status is INACTIVE.

Business Overview

ROBERTA F SHAPIRO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.000378-DO. The credential type is physician/surgeon. The effective date is October 1, 2018. The expiration date is September 30, 2019. The business address is 115 E 61st St Apt 10a, New York, NY 10065-8186. The current status is inactive.

Basic Information

Licensee Name ROBERTA F SHAPIRO
Credential ID 538113
Credential Number 1.000378-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 115 E 61st St Apt 10a
New York
NY 10065-8186
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1994-01-28
Effective Date 2018-10-01
Expiration Date 2019-09-30
Refresh Date 2020-01-03

Office Location

Street Address 115 E 61st St Apt 10A
City NEW YORK
State NY
Zip Code 10065-8186

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Competitor

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City NEW YORK
Zip Code 10065
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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Bernard S Shapiro 22 Westfield Ave, Ansonia, CT 06401 Physician/surgeon 1995-11-13 ~ 1997-01-31
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A G Shapiro 33 Fairview Dr, East Hanover, NJ 07936 Physician/surgeon 1994-08-10 ~ 1995-09-30
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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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