RAVEN DEVINCENZO MD (Credential# 558800) 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.
RAVEN DEVINCENZO MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041217. The credential type is physician/surgeon. The effective date is February 1, 2020. The expiration date is January 31, 2021. The business address is 59 Van Brunt St, Staten Island, NY 10312. The current status is active.
| Licensee Name | RAVEN DEVINCENZO MD |
| Credential ID | 558800 |
| Credential Number | 1.041217 |
| Credential Type | Physician/Surgeon |
| Business Address |
59 Van Brunt St Staten Island NY 10312 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-03-11 |
| Effective Date | 2020-02-01 |
| Expiration Date | 2021-01-31 |
| Refresh Date | 2020-01-23 |
| Street Address | 59 VAN BRUNT ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Biana Volfinzon | 187 Arbutus Ave., Staten Island, NY 10312 | Physician/surgeon | ~ |
| Laren Encarnacion | 482 Wilson Avenue, Staten Island, NY 10312 | Registered Nurse | ~ |
| Joseph J Aliotta | 74 Robinson Ave, Staten Island, NY 10312 | Architect | 2020-08-01 ~ 2021-07-31 |
| David P Suarez | 3733 Richmond Avenue, Staten Island, NY 10312 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Yanina Gleyzer | 246 Hillcrest Street, Staten Island, NY 10312 | Master's Level Social Worker | 2019-10-01 ~ 2020-09-30 |
| Richard Louis Sosa | 15 Osage Lane, Staten Island, NY 10312 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Janice Riso | 241 Kinghorn St, Staten Island, NY 10312 | Resident Physician | 2015-07-01 ~ 2019-06-30 |
| Bedzet Vejselovski · E. V. Masonry | 169 Rathbun Ave, Staten Island, NY 10312 | Home Improvement Contractor | 2006-01-25 ~ 2006-11-30 |
| Frederick A Barbieri | 62 Covington Circle, Staten Island, NY 10312 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Pasquale A Tulino | 154 Androvette Avenue, Staten Island, NY 10312 | Professional Engineer | 2012-02-01 ~ 2013-01-31 |
| Find all Licenses in zip 10312 | |||
| City | STATEN ISLAND |
| Zip Code | 10312 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + STATEN ISLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Shen Md | 183 Raven Terrace, Stratford, CT 06497 | Physician/surgeon | 1999-04-07 ~ 2000-04-30 |
| Raven Brands Inc · Raven Import Co | 78 Greenpoint Ave, Brooklyn, NY 11222-3886 | Out of State Shipper Beer | 2019-03-04 ~ 2020-03-03 |
| Raven Brands Inc | 815 Ditmos Ave, Brooklyn, NY 11218 | Out of State Shipper Beer | 2008-05-20 ~ 2009-05-19 |
| Raven's Edge LLC | 100 Whiting St Studio 412, Winsted, CT 06098-1878 | Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
| Raven Lawn | 52 Taos Drive, Danielson, CT 06239 | Public Community Living Arrangement | 2019-12-01 ~ 2021-11-30 |
| Raven's Edge, LLC | 100 Whiting St Studio 412, Winsted, CT 06098-1878 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Raven | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2020-07-07 ~ 2023-07-05 |
| Raven Remodeling | 110 Cornwall St, Hartford, CT 06112-1415 | Home Improvement Contractor | 2014-05-30 ~ 2014-11-30 |
| Raven Remodeling LLC | 106 Salem Rd, Lyme, CT 06371-3213 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Risata Raven | CT | Liquor Brand Label | 2020-01-29 ~ 2023-01-28 |
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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).