AMY B LEWIS (Credential# 550646) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
AMY B LEWIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033047. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 111 E 75th St Apt 3a, New York, NY 10021-2816. The current status is active.
| Licensee Name | AMY B LEWIS |
| Credential ID | 550646 |
| Credential Number | 1.033047 |
| Credential Type | Physician/Surgeon |
| Business Address |
111 E 75th St Apt 3a New York NY 10021-2816 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-06-18 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 163282 | CSP.0021118 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1993-07-07 - 1995-03-01 | INACTIVE |
| Street Address | 111 E 75TH ST APT 3A |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-2816 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anuj Malhotra | 429 East 75th St, 5th Floor, New York, NY 10021 | Physician/surgeon | ~ |
| Lenox Chemists Inc | 422 East 75th Street, New York, NY 10021 | Nonresident Pharmacy | ~ |
| Katherine Nicole Day | 310 E 71st Street, New York, NY 10021 | Registered Nurse | ~ |
| Jordan D Metzl Md | Hospital for Special Surgery, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lisa F Schneider | 820 Park Avenue, New York, NY 10021 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ryan C Ciambriello | 423 E 73rd St. Apt 2d, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maxxwell S Crowley | 315 East 73 Rd Street Apt #4, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jean P Simon | 36 E 70 Th Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Todd James Albert | 541 East 71st Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Russell F Warren Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 10021 | |||
| City | NEW YORK |
| Zip Code | 10021 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ali Hemdan Md | 455 Lewis Ave., Meriden, CT 06451 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Aurangzeb A Ali Md | 455 Lewis Ave Ste 216, Meriden, CT 06451 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Isaac Troiano | 435 Lewis Ave, Meriden, CT 06451-2101 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lewis A Hofmann | 2427 Kemper Rd, Crofton, MD 21114-2552 | Physician/surgeon | ~ |
| David M Sack | 455 Lewis Ave Ste 106, Meriden, CT 06451-2121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Roopkiranjot K Kahlon | 455 Lewis Ave Ste 214, Meriden, CT 06451-2121 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Lewis I Levenson | 150 Hazard Ave C-6, Enfield, CT 06082 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Madhavi Bhoomagoud | 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard C Lewis | 29 Broad St, Guilford, CT 06437-2613 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Thomas S Jung | 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
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| 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).