JONATHAN J CRYSTAL MD (Credential# 562749) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
JONATHAN J CRYSTAL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045167. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254. The current status is active.
Licensee Name | JONATHAN J CRYSTAL MD |
Credential ID | 562749 |
Credential Number | 1.045167 |
Credential Type | Physician/Surgeon |
Business Address |
2678 South Rd Ste 202 Poughkeepsie NY 12601-5254 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2007-03-01 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-02-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
466417 | CSP.0041276 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 2678 SOUTH RD STE 202 |
City | POUGHKEEPSIE |
State | NY |
Zip Code | 12601-5254 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Bruce R Gendron Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nancy A Cooper | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Emil Shih Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Yiping Zhang | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Richard J Friedland Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Jon M Lewis Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Michael Bromley Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Mira Herman | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Victor D Gaines Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Benjamin D Seckler Md · Imagining PC | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in the same address |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Dudley A Watson | 246 Mansion St., Poughkeepsie, NY 12601 | Asbestos Abatement Supervisor | 2020-06-01 ~ 2021-05-31 |
Craig M Shannon | 47 Kingwood Dr, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Maxwell Risch | 6 Marwood Dr, Poughkeepsie, NY 12601 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Chazen Engineering, Land Surveying & Landscape Architecture Ct LLC | 21 Fox St, Poughkeepsie, NY 12601 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
Paul Wright | 21 Reade Pl, Poughkeepsie, NY 12601 | Controlled Substance Registration for Practitioner | 2020-02-20 ~ 2021-02-28 |
Faiz Y Bhora | 45 Reade Place, Dyson Cancer Center, 3rd Floor, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
David M Quinn | 45 Reade Pl, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Kelly Lynn Philiba | 12 Hanscom Ave, Poughkeepsie, NY 12601 | Naturopathic Physician | 2020-02-01 ~ 2021-01-31 |
Danielle Williams | 2678 South Road, Suite 202, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Laura M Baird | 350 Violet Ave, Poughkeepsie, NY 12601 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
Find all Licenses in zip 12601 |
City | POUGHKEEPSIE |
Zip Code | 12601 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + POUGHKEEPSIE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Louis G Petcu Md | 75 Crystal Run Rd, Middletown, NY 10941-7000 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Vijayasekhara R Kalakata | 690 Ne 3rd Ave, Crystal River, FL 34428 | Physician/surgeon | 2017-09-01 ~ 2018-08-31 |
Sandra L Aponte | 69 Crystal Ave, Staten Island, NY 10302-2516 | Physician/surgeon | ~ |
Raymond A Sleszynski | 601 Crystal Grove, Lutz, FL 33549 | Physician/surgeon | ~ 1999-02-28 |
Maria C Albano | 124 Mississippi Ave, Crystal City, MO 63019 | Physician/surgeon | 2000-05-01 ~ 2001-03-31 |
Crystal L Clark | 1280 Asylum Ave Apt 4d, Hartford, CT 06105-2289 | Physician/surgeon | 2003-06-02 ~ 2004-02-29 |
Vivian Sone | 15 Crystal Spring Rd, Chappaqua, NY 10514-1412 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Kajalben N Nadpara | 155 Crystal Run Road, Middletown, NY 10941 | Physician/surgeon | 2009-06-22 ~ 2010-06-30 |
John E Humphries | 2 Crystal Terrace, Woodbridge, CT 06525 | Physician/surgeon | ~ 1999-06-30 |
Stefan G Chevalier | 75 Crystal Run Road, Middletown, NY 10941 | Physician/surgeon | 2011-04-01 ~ 2012-03-31 |
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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).