ANDREW M GOLDBAUM (Credential# 553938) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2010. The license expiration date date is February 28, 2011. The license status is INACTIVE.
ANDREW M GOLDBAUM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036346. The credential type is physician/surgeon. The effective date is March 1, 2010. The expiration date is February 28, 2011. The business address is 605 Park Ave., New York, NY 10065. The current status is inactive.
| Licensee Name | ANDREW M GOLDBAUM |
| Credential ID | 553938 |
| Credential Number | 1.036346 |
| Credential Type | Physician/Surgeon |
| Business Address |
605 Park Ave. New York NY 10065 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1997-08-29 |
| Effective Date | 2010-03-01 |
| Expiration Date | 2011-02-28 |
| Refresh Date | 2011-06-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 187466 | CSP.0026089 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 605 PARK AVE. |
| City | NEW YORK |
| State | NY |
| Zip Code | 10065 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Erik Jonathan Blutinger | 166 E 63rd St, New York, NY 10065 | Physician/surgeon | ~ |
| Crestview Partners Iv, Lp | 590 Madison Avenue, New York, NY 10065 | Securities - Exemptions | 2020-06-17 ~ |
| Abigail L Peck | 406 E 63rd Street, New York, NY 10065 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Cevat A Ozan | 26 East 64th Street, New York, NY 10065 | Architect | 2020-08-01 ~ 2021-07-31 |
| John E Berson | 245 East 63rd Street, New York, NY 10065 | Architect | 2020-08-01 ~ 2021-07-31 |
| Naomi Alper | 1161 York Avenue, New York, NY 10065 | Licensed Clinical Social Worker | ~ |
| Redbird Series 2019, Lp | 667 Madison Ave, Fl 16, New York, NY 10065 | Securities - Exemptions | 2020-06-01 ~ |
| Andrew C Shih Md | 200 E 62nd St Apt 9b, New York, NY 10065 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Inga Katharina Mewes Blom | 210 E64th St., New York, NY 10065 | Psychologist | ~ |
| Flavio Gaudio | 525 E. 68th St., New York, NY 10065 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 10065 | |||
| City | NEW YORK |
| Zip Code | 10065 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrew S Hsu Md | 276 1st Ave, Milford, CT 06460-5209 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Andrew J Panettieri | Rt 7 So Po Box 282, Shelburne, VT 05482 | Physician/surgeon | 1998-01-02 ~ 1999-01-31 |
| Andrew S Whyte Do | 17 Hi Ann Ct, Bethany, CT 06524-3259 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Andrew Scatola | 80 Seymour St, Hartford, CT 06102 | Physician/surgeon | ~ |
| Andrew Blazar | 101 Dudley St, Providence, RI 02905-2401 | Physician/surgeon | ~ |
| Andrew Le | 701 5th Avenue, Seattle, WA 98104 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Andrew W Litt | New York, NY 10024 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Andrew S Gee | 116 Ardmore Rd, W Hartford, CT 06119 | Physician/surgeon | 2001-06-29 ~ 2002-06-30 |
| Andrew J. Illig | 390 1st Ave Apt 9c, New York, NY 10010-6521 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Andrew E Price | 530 First Ave, New York, NY 10016 | Physician/surgeon | 1998-03-04 ~ 1999-03-31 |
Please comment or provide details below to improve the information on ANDREW M GOLDBAUM.
| 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).