TANYA M NEILSEN
Physical Therapist


Address: 1007 Old Medford Avenue, Farmingville, NY 11738

TANYA M NEILSEN (Credential# 691974) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2014. The license status is INACTIVE.

Business Overview

TANYA M NEILSEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.006399. The credential type is physical therapist. The effective date is March 1, 2013. The expiration date is February 28, 2014. The business address is 1007 Old Medford Avenue, Farmingville, NY 11738. The current status is inactive.

Basic Information

Licensee Name TANYA M NEILSEN
Credential ID 691974
Credential Number 14.006399
Credential Type Physical Therapist
Business Address 1007 Old Medford Avenue
Farmingville
NY 11738
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1999-04-09
Effective Date 2013-03-01
Expiration Date 2014-02-28
Refresh Date 2014-06-09

Office Location

Street Address 1007 OLD MEDFORD AVENUE
City FARMINGVILLE
State NY
Zip Code 11738

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Quingguo You 5 Arctic Court, Farmingville, NY 11738 Casino Class I Employee 2019-12-11 ~ 2020-10-31
Paul N Dapontes 16 Sachem Court, Farmingville, NY 11738 Notary Public Appointment 2003-02-10 ~ 2008-02-29
Umair Siddiqui 107 Cedar Oaks Ave, Farmingville, NY 11738 Pharmacist ~
George Angelis · Eagle Chimney Maintenance 32 Eva Lane, Farmingville, NY 11738 Home Improvement Contractor 2005-12-01 ~ 2006-11-30
All American Chimney 27 Liber Blvd, Farmingville, NY 11738 Home Improvement Contractor 2007-12-01 ~ 2008-11-30
Vanessa Fallica 15 Ridgedale Ave, Farmingville, NY 11738 Physician Assistant ~
Suzanne Montalbano 8 Faculty Lane, Farmingville, NY 11738 Real Estate Salesperson ~
Gary G. Koster 52 Oakdale Avenue, Farmingville, NY 11738 Certified Public Accountant License 2008-01-01 ~ 2008-12-31
Marian Wronkowski 45 Crestwood Lane, Farmingville, NY 11738 Asbestos Abatement Worker 2009-01-06 ~ 2010-01-31
Keith W Anderson 10 John Drive, Farmingville, NY 11738 Tv & Radio Limited Dish Antenna Technician ~
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Competitor

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City FARMINGVILLE
Zip Code 11738
License Type Physical Therapist
License Type + County Physical Therapist + FARMINGVILLE

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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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