BARNEY SPIVACK MD (Credential# 548163) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
BARNEY SPIVACK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030009. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 101 Long Lots Road, Westport, CT 06880. The current status is active.
| Licensee Name | BARNEY SPIVACK MD |
| Credential ID | 548163 |
| Credential Number | 1.030009 |
| Credential Type | Physician/Surgeon |
| Business Address |
101 Long Lots Road Westport CT 06880 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1989-06-02 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-07-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 159820 | CSP.0017349 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-03-01 - 2015-02-28 | INACTIVE | |
| 200758 | CSP.0027647 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE | |
| 213305 | CSP.0028398 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-03-01 - 2004-02-28 | INACTIVE |
| Street Address | 101 LONG LOTS ROAD |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robin G Oshman | 101 Long Lots Road, Westport, CT 06880 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
| Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
| Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
| Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06880 | |||
| City | WESTPORT |
| Zip Code | 06880 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WESTPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julie Spivack Md | 425 Post Rd, Fairfield, CT 06824 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Adam Spivack | 4479 Kingscote Road, BC VOR 1N2 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| George Spivack Md · Internal Medicine Associates, P.C. | Consulting Cardiologists, PC, Wallingford, CT 06492-6012 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Linda M Barney | 252 Lonsdale Ave, Dayton, OH 45419 | Physician/surgeon | 2016-03-01 ~ 2017-02-28 |
| Barney B Silverman | 775 Scarsdale Rd Unit 3, Tuckahoe, NY 10707-1049 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Austin H Barney · Barney Enterprises | 249 Cornwall Bridge Road, Sharon, CT 06069 | Home Improvement Contractor | 2002-12-01 ~ 2003-11-30 |
| Kenneth R Barney · Barney's Building & Remodeling | 51 Walnut Tree Hill Road, Sandy Hook, CT 06482 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| Barney Barker Oil Co Inc | 40 Jansen Ct, West Hartford, CT 06110-1913 | Motor Fuel Quality Registration | 2009-11-01 ~ 2010-10-31 |
| Barney Barker Oil Co Inc | 109 Stamm Road, Newington, CT 06111-3738 | Home Heating Fuel Dealer | 2019-10-01 ~ 2020-09-30 |
| Joseph E Barney & Associates | 3007 Main St, Stratford, CT 06497 | Community Association Manager | 1993-05-26 ~ 1995-01-31 |
Please comment or provide details below to improve the information on BARNEY SPIVACK MD.
| 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).