ALEXANDRA BANNACH
Physician/surgeon


Address: 11 Sharon Ave, East Setauket, NY 11733

ALEXANDRA BANNACH (Credential# 559384) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 26, 2003. The license expiration date date is May 31, 2004. The license status is INACTIVE.

Business Overview

ALEXANDRA BANNACH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041801. The credential type is physician/surgeon. The effective date is August 26, 2003. The expiration date is May 31, 2004. The business address is 11 Sharon Ave, East Setauket, NY 11733. The current status is inactive.

Basic Information

Licensee Name ALEXANDRA BANNACH
Credential ID 559384
Credential Number 1.041801
Credential Type Physician/Surgeon
Business Address 11 Sharon Ave
East Setauket
NY 11733
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-08-26
Effective Date 2003-08-26
Expiration Date 2004-05-31
Refresh Date 2009-07-08

Office Location

Street Address 11 Sharon Ave
City East Setauket
State NY
Zip Code 11733

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Kambiz Nassiri 6 Club House Court, E Setauket, NY 11733 Professional Engineer 2020-02-01 ~ 2021-01-31
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Joseph Ilasi Long Island Pathology, Inc., East Setauket, NY 11733 Physician/surgeon 2019-12-01 ~ 2020-11-30
Inessa Safarov 2 Flint Ct, East Setauket, NY 11733 Dentist 2019-09-01 ~ 2020-08-31
David J Ben-eliyahu 20 Abbey La, Setauket, NY 11733 Chiropractor 2019-04-01 ~ 2020-03-31
Eugene Matthew Daniel Arena 2 Lynx Lane, East Setauket, NY 11733 Registered Nurse 2019-05-01 ~ 2020-04-30
Robert T Gongolewski · Brothers Chimney Service Inc 48 Julia Cirle, Setauket, NY 11733 Home Improvement Salesperson 1997-12-30 ~ 1998-11-30
James L Seccadanari · Jason Witover/prof Chimney Company 30 Fireside Lane, East Setauket, NY 11733 Home Improvement Salesperson 1998-12-31 ~ 1999-11-30
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Competitor

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City East Setauket
Zip Code 11733
License Type Physician/Surgeon
License Type + County Physician/Surgeon + East Setauket

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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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