MARTIN J O'MALLEY MD (Credential# 553408) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2020. The license expiration date date is January 31, 2021. The license status is ACTIVE.
MARTIN J O'MALLEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035815. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 420 East 72nd Street, New York, NY 10021. The current status is active.
| Licensee Name | MARTIN J O'MALLEY MD |
| Credential ID | 553408 |
| Credential Number | 1.035815 |
| Credential Type | Physician/Surgeon |
| Business Address |
420 East 72nd Street New York NY 10021 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-01-31 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-01-16 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 196476 | CSP.0027154 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-02 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 420 EAST 72ND STREET |
| 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 |
|---|---|---|---|
| David M O'malley Md | 122 Russell St, Hamden, CT 06517 | Physician/surgeon | 2005-05-05 ~ 2006-04-30 |
| Richard A O'malley | 220 Lawrence St, New Haven, CT 06511 | Physician/surgeon | 1998-10-14 ~ 1999-12-31 |
| Susan S Malley Ms. | 20 Mckeon Place, Ridgefield, CT 06877 | Physician/surgeon | 2014-09-01 ~ 2015-08-31 |
| Grace Marion O'malley | 100 Motor Parkway, Hauppauge, NY 11788 | Physician/surgeon | ~ |
| Shannon Elizabeth O'malley | 20 York St, New Haven, CT 06510-3220 | Physician/surgeon | 2020-03-19 ~ 2020-08-31 |
| Susan O'malley Md | 129 Opening Hill Road, Madison, CT 06443-3144 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Julia M O'malley-keyes | 1 Letterman Drive Bldg C, Ste 3500, San Francisco, CA 94129 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Edward J Malley IIi · E J Malley Construction | 20 Devine Rd, Suffield, CT 06078 | Home Improvement Contractor | 2015-12-01 ~ 2016-11-30 |
| Brian J Malley · Malley Remodeling | 49 First St, New Britain, CT 06051 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Abby C O'malley · O-malley | 30 Duncan Road, Manchester, CT 06040 | Licensed Practical Nurse | 2019-09-01 ~ 2020-08-31 |
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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).