JON D SAMUELS MD
Physician/surgeon


Address: 21 S End Ave Ph 2i, New York, NY 10280-1071

JON D SAMUELS MD (Credential# 548561) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

JON D SAMUELS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030602. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 21 S End Ave Ph 2i, New York, NY 10280-1071. The current status is active.

Basic Information

Licensee Name JON D SAMUELS MD
Credential ID 548561
Credential Number 1.030602
Credential Type Physician/Surgeon
Business Address 21 S End Ave Ph 2i
New York
NY 10280-1071
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1990-02-23
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-06-02

Other licenses

ID Credential Code Credential Type Issue Term Status
332367 CSP.0033269 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-03-04 - 2009-02-28 INACTIVE

Office Location

Street Address 21 S END AVE PH 2I
City NEW YORK
State NY
Zip Code 10280-1071

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Margherita C Salvia · Elaine J Gibbons 200 Rector Place Apt #5e, New York, NY 10280 Real Estate Salesperson 1999-06-01 ~ 2000-05-31
Pierre J Moran 295 West Thames St, New York, NY 10280 Real Estate Broker 2015-04-01 ~ 2016-03-31
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Competitor

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City NEW YORK
Zip Code 10280
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Sharon B Samuels 90 Gerald Drive, Vernon, CT 06066 Physician/surgeon 1993-11-10 ~ 1994-10-31
Victoria R Samuels Md 50 Fair Harbour Pl Ste 2a, New London, CT 06320-4732 Physician/surgeon 2014-12-01 ~ 2015-11-30
Jesse Samuels 25 Cascade Road, West Hartford, CT 06117 Physician/surgeon 2020-05-01 ~ 2021-04-30
Blossom Patricia Samuels 148 Lorraine Avenue, Mount Vernon, NY 10553 Physician/surgeon 2019-10-25 ~ 2020-09-30
Samuels' Early Learning Center 10 Aaron B Samuels Blvd, Danbury, CT 06810-7787 Child Care Center 2018-11-01 ~ 2022-10-31
Clive Samuels & Associates Inc 1 Independence Way, Princeton, NJ 08540-6638 Professional Engineering Corporation 2013-05-10 ~ 2014-05-09
Russell H Harris Md Envision Physician Services, Horsham, PA 19044 Physician/surgeon 2019-09-01 ~ 2020-08-31
Penny Lamhut Md Genesis Physician Services, Windsor, CT 06098 Physician/surgeon 1999-07-15 ~ 2000-07-31
Gilbert L Drozdow Envision Physician Services, Plantation, FL 33322 Physician/surgeon 2019-10-01 ~ 2020-09-30
John T Thompson Physician Pavilion W, Towson, MD 21204 Physician/surgeon 2020-07-01 ~ 2021-06-30

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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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