BRIAN P VICKERY
Physician/surgeon


Address: 1320 York Ave, New York, NY 10021

BRIAN P VICKERY (Credential# 560762) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 8, 2005. The license expiration date date is November 30, 2005. The license status is INACTIVE.

Business Overview

BRIAN P VICKERY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.043180. The credential type is physician/surgeon. The effective date is March 8, 2005. The expiration date is November 30, 2005. The business address is 1320 York Ave, New York, NY 10021. The current status is inactive.

Basic Information

Licensee Name BRIAN P VICKERY
Credential ID 560762
Credential Number 1.043180
Credential Type Physician/Surgeon
Business Address 1320 York Ave
New York
NY 10021
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2005-03-08
Effective Date 2005-03-08
Expiration Date 2005-11-30
Refresh Date 2009-07-08

Office Location

Street Address 1320 York Ave
City New York
State NY
Zip Code 10021

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Jane M Harrington 1320 York Ave, New York, NY 10021 Registered Nurse 2019-10-01 ~ 2020-09-30
Pantea Farahmand 1320 York Ave, New York, NY 10021 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
Danielle Annozine 1320 York Ave, New York, NY 10021 Registered Nurse 2006-03-27 ~ 2006-12-31
Laurel J Absolon 1320 York Ave, New York, NY 10021 Registered Nurse 1995-06-21 ~ 1996-06-30
Christina M Difazio 1320 York Ave, New York, NY 10021 Registered Nurse 1993-04-23 ~ 1994-05-31

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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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