PHILIP J WAGNER (Credential# 551576) 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.
PHILIP J WAGNER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033977. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 525 E. 86th Street, New York, NY 10028. The current status is active.
| Licensee Name | PHILIP J WAGNER |
| Credential ID | 551576 |
| Credential Number | 1.033977 |
| Credential Type | Physician/Surgeon |
| Business Address |
525 E. 86th Street New York NY 10028 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1994-08-05 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 161336 | CSP.0022479 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1998-03-01 - 1999-02-28 | INACTIVE |
| Street Address | 525 E. 86th Street |
| City | New York |
| State | NY |
| Zip Code | 10028 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Doe Fund Inc (the) | 232 East 84th Street, New York, NY 10028 | Public Charity | 2020-05-31 ~ 2020-05-31 |
| Joanne Reed | 515 E 85 St, New York, NY 10028 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Alexander Gunn | 205 East 85th Street #12cd, New York, NY 10028 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Philip Felig | 1056 Fifth Ave, New York, NY 10028 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Elie Levine | 35 East 84th Street, New York, NY 10028 | Physician/surgeon | 2019-01-01 ~ 2019-12-31 |
| Olivia Z Hutchinson | 121a East 83rd Street, New York, NY 10028 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Barry Sender | 520 East 84th St, New York, NY 10028 | Optician | 2020-06-01 ~ 2021-05-31 |
| Mark Graham Albert | 950 Park Avenue, New York, NY 10028 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Susan C Casden | 185 East 85th Street, New York, NY 10028 | Psychologist | 2020-06-01 ~ 2021-05-31 |
| Nicholas William Hershfield | 1623 2nd Avenue Apt 4n, New York, NY 10028 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10028 | |||
| City | New York |
| Zip Code | 10028 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New York |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Henry W Wagner | 30 North St, Rye, NY 10580 | Physician/surgeon | 2001-01-31 ~ 2002-01-31 |
| Karla L Wagner | 19 Wright St #2, Stamford, CT 06902 | Physician/surgeon | 1993-12-01 ~ 1994-10-31 |
| Jesse Wagner Md | 25 Lake Ridge Dr, Marlborough, CT 06447 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lloyd D Wagner | 223 24th St, Santa Monica, CA 90402-2515 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Jeffrey A Wagner Md | 30 Davis Hill Rd, Weston, CT 06883 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Katherine M Wagner-reiss Md | 434 Frogtown Rd, New Canaan, CT 06840-4411 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Elliott J Wagner | 200 E 66th St # C904, New York, NY 10065-9175 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Andrew J. Wagner | Emergency Medicine Physicians, Canton, OH 44718 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Christian T Wagner | 48 Rivington Drive, West Boylston, MA 01583 | Physician/surgeon | 2000-04-20 ~ 2001-05-31 |
| Philip H Glogover | Aventura, FL 33180 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on PHILIP J WAGNER.
| 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).