LEZA N GALLO
Physician/surgeon


Address: 320 East 72 Street, New York, NY 10021

LEZA N GALLO (Credential# 554499) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.

Business Overview

LEZA N GALLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036908. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 320 East 72 Street, New York, NY 10021. The current status is active.

Basic Information

Licensee Name LEZA N GALLO
Credential ID 554499
Credential Number 1.036908
Credential Type Physician/Surgeon
Business Address 320 East 72 Street
New York
NY 10021
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1998-05-29
Effective Date 2019-11-01
Expiration Date 2020-10-31
Refresh Date 2019-08-20

Office Location

Street Address 320 EAST 72 STREET
City NEW YORK
State NY
Zip Code 10021

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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
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City NEW YORK
Zip Code 10021
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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Dataset Information

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).

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