JESSICA R BERMAN MD (Credential# 559283) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 24, 2004. The license expiration date date is May 31, 2005. The license status is INACTIVE.
JESSICA R BERMAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041700. The credential type is physician/surgeon. The effective date is May 24, 2004. The expiration date is May 31, 2005. The business address is 535 East 70th St, New York, NY 10021. The current status is inactive.
| Licensee Name | JESSICA R BERMAN MD |
| Credential ID | 559283 |
| Credential Number | 1.041700 |
| Credential Type | Physician/Surgeon |
| Business Address |
535 East 70th St New York NY 10021 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2003-07-23 |
| Effective Date | 2004-05-24 |
| Expiration Date | 2005-05-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 349198 | CSP.0034069 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-02-29 - 2005-02-28 | INACTIVE |
| Street Address | 535 EAST 70TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell F Warren Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jo A Hannafin Md | 535 East 70th St, New York, NY 10021 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| David S Levine Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Gabrielle P Konin | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Thomas A Lehman | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2008-11-28 ~ 2010-01-31 |
| Stephen W Burke | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2006-07-20 ~ 2007-08-31 |
| Lisa Sammaritano Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2003-05-02 ~ 2004-04-30 |
| 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 |
| Charles N Cornell | 535 East 70th Street, New York, NY 10021 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| 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 |
|---|---|---|---|
| Daniel S Berman | 25 Carlisle Rd, New Rochelle, NY 10804-3801 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| Joel A Berman | 225 Boston St, Lynn, MA 01904 | Physician/surgeon | 1992-10-23 ~ 1993-11-30 |
| David H Berman | 1 Little Fox Lane, Westport, CT 06880 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Michael R Berman Md | 11 Prospect Ct, Woodbridge, CT 06525-1508 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Lorraine M Wolpert-berman | Southern Pines, NC 28387 | Physician/surgeon | 2011-08-01 ~ 2012-07-31 |
| Sidney Berman | C/o Dr. Gerald Flamm, New Haven, CT 06511 | Physician/surgeon | 2005-06-01 ~ 2006-02-28 |
| Robert M Berman | 77 Livingston Street, New Haven, CT 06511 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Leonard D Berman | 230 Woodward Street, Waban, MA 02468 | Physician/surgeon | 2001-07-02 ~ 2002-07-31 |
| Lewis Berman Md | 175 Fairland Drive, Fairfield, CT 06825 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Brian William Berman | 3922 White Oak Trl, Woodmere, OH 44122-4722 | Physician/surgeon | 1978-07-24 ~ 1981-01-31 |
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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).