DIANE C RUDOLPH
Physician/surgeon


Address: 15 E 75th St, New York, NY 10021-2660

DIANE C RUDOLPH (Credential# 559233) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2017. The license expiration date date is April 30, 2018. The license status is INACTIVE.

Business Overview

DIANE C RUDOLPH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041650. The credential type is physician/surgeon. The effective date is May 1, 2017. The expiration date is April 30, 2018. The business address is 15 E 75th St, New York, NY 10021-2660. The current status is inactive.

Basic Information

Licensee Name DIANE C RUDOLPH
Credential ID 559233
Credential Number 1.041650
Credential Type Physician/Surgeon
Business Address 15 E 75th St
New York
NY 10021-2660
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-07-10
Effective Date 2017-05-01
Expiration Date 2018-04-30
Refresh Date 2018-08-03

Office Location

Street Address 15 E 75TH ST
City NEW YORK
State NY
Zip Code 10021-2660

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Anuj Malhotra 429 East 75th St, 5th Floor, New York, NY 10021 Physician/surgeon ~
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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
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Competitor

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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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