BARRY D SHAKTMAN (Credential# 552432) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 20, 2002. The license expiration date date is May 31, 2003. The license status is INACTIVE.
BARRY D SHAKTMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.034836. The credential type is physician/surgeon. The effective date is May 20, 2002. The expiration date is May 31, 2003. The business address is 525 E. 68th St. J-130, New York, NY 10021. The current status is inactive.
| Licensee Name | BARRY D SHAKTMAN |
| Credential ID | 552432 |
| Credential Number | 1.034836 |
| Credential Type | Physician/Surgeon |
| Business Address |
525 E. 68th St. J-130 New York NY 10021 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1995-09-01 |
| Effective Date | 2002-05-20 |
| Expiration Date | 2003-05-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 525 E. 68th St. J-130 |
| City | New York |
| State | NY |
| Zip Code | 10021 |
| 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 |
|---|---|---|---|
| Barry Shaktman Md | 146 Gristmill Lane, Great Neck, NJ 11023 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Barry J Tils | Po Box 650, Chinle, AZ 86503 | Physician/surgeon | 1994-11-21 ~ 1996-01-31 |
| Barry S Hyman | 204 Rt 9w, New Windsor, NY 12553 | Physician/surgeon | 1996-04-26 ~ 1997-01-31 |
| Barry D Stimmel | Po Box 175, Ancramdale, NY 12503 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
| Barry M Concool | 897 Sheffield Rd, Teaneck, NJ 07666-5651 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Barry J Richter | 60 Old Quarry Rd, Guilford, CT 06437 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Barry S Levy | 20 N Main St Ste 200, Sherborn, MA 01770-7230 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Barry L Brown | 220 E 72nd St Apt 10c, New York, NY 10021-4528 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Barry Goldberg Md | 17 Hillhouse Ave, New Haven, CT 06520 | Physician/surgeon | 2006-11-03 ~ 2007-12-31 |
| Barry J Kuttner Md | 140 Green Rd, Meriden, CT 06450 | Physician/surgeon | 2003-06-18 ~ 2004-08-31 |
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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).