DOUGLAS N. MINTZ (Credential# 557207) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
DOUGLAS N. MINTZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.039623. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 535 E 70th St, New York, NY 10021-4823. The current status is active.
| Licensee Name | DOUGLAS N. MINTZ |
| Credential ID | 557207 |
| Credential Number | 1.039623 |
| Credential Type | Physician/Surgeon |
| Business Address |
535 E 70th St New York NY 10021-4823 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-06-15 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-07-05 |
| Street Address | 535 E 70TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-4823 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evan David Sheha | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Darryl B Sneag | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gregory R Saboeiro | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alissa J Burge | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Peter D Fabricant | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shari T Jawetz | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sravisht Iyer | 535 E 70th St, New York, NY 60661 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Meghan E Sahr | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-03-10 ~ 2021-03-31 |
| Theodore T Miller | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Catherine Marie De Stio | 535 E 70th St, New York, NY 10021-4823 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John A Carrino | 535 E 70th St Fl 3, New York, NY 10021-4823 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Genewo Hong | 535 E 70th St Rm 853w, New York, NY 10021-4823 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 |
|---|---|---|---|
| Edward Mintz | 201 Bristol Dr, Woodbury, NY 11797-3117 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Abraham Mintz | 115 Technology Dr Unit B106, Trumbull, CT 06611-6339 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Devra C Mintz | 17120 Royal Palm Blvd Ste 1, Weston, FL 33326-2310 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Douglas R. Mailly | 119 Russell St, Cornwall, NY 12518-1711 | Physician/surgeon | ~ |
| Douglas Kornreich | 36 Washburn Rd, Mount Kisco, NY 10549 | Physician/surgeon | ~ |
| Cyle Douglas Rogotzke | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | ~ |
| Douglas M Brandt | 407 Evenwillow Way, Aiken, SC 29803-1769 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Douglas B Bober | 603 Countryside Pl Se, Smyrna, GA 30080-8238 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
| Douglas J Van Der Heide | 7 East 85 St, New York, NY 10028 | Physician/surgeon | 2011-12-01 ~ 2012-11-30 |
| Douglas R Gnepp | 59 E Orchard Ave, Providence, RI 02906-5514 | Physician/surgeon | 2014-10-01 ~ 2015-10-31 |
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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).