STEPHEN E DOSSICK MD
Physician/surgeon


Address: 1255 5th Ave Apt 5a, New York, NY 10029-3851

STEPHEN E DOSSICK MD (Credential# 563945) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2019. The license expiration date date is May 31, 2020. The license status is ACTIVE.

Business Overview

STEPHEN E DOSSICK MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.046363. The credential type is physician/surgeon. The effective date is June 1, 2019. The expiration date is May 31, 2020. The business address is 1255 5th Ave Apt 5a, New York, NY 10029-3851. The current status is active.

Basic Information

Licensee Name STEPHEN E DOSSICK MD
Credential ID 563945
Credential Number 1.046363
Credential Type Physician/Surgeon
Business Address 1255 5th Ave Apt 5a
New York
NY 10029-3851
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2008-04-03
Effective Date 2019-06-01
Expiration Date 2020-05-31
Refresh Date 2019-08-06

Other licenses

ID Credential Code Credential Type Issue Term Status
498693 CSP.0043314 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-04-16 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 1255 5TH AVE APT 5A
City NEW YORK
State NY
Zip Code 10029-3851

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Licensee Name Office Address Credential Effective / Expiration
Grace Ferguson-pell 1255 5th Ave Apt 5j, New York, NY 10029-3851 Registered Nurse 2019-08-01 ~ 2020-07-31

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Zhi Qing Ye 315 E.106 Street Apt. #19 D, New York, NY 10029 Casino Class I Employee 2019-12-03 ~ 2020-10-31
Tamara Machelle Hawkins 2130 1st Avenue, New York, NY 10029 Registered Nurse 2020-05-01 ~ 2021-04-30
Kenneth Thompson 324 East 108th Street 16e, New York, NY 10029 Master's Level Social Worker 2018-09-04 ~ 2019-09-30
Maria Vivienne Kosovsky 1 Gustav Levy Pl, New York, NY 10029 Physician/surgeon 2018-11-20 ~ 2019-08-31
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Competitor

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City NEW YORK
Zip Code 10029
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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