PETER N FISH (Credential# 742463) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is January 28, 2005. The license expiration date date is March 31, 2006. The license status is INACTIVE.
PETER N FISH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000714. The credential type is physician assistant. The effective date is January 28, 2005. The expiration date is March 31, 2006. The business address is 222 Riverside Dr Apt 3f, New York, NY 10025. The current status is inactive.
| Licensee Name | PETER N FISH |
| Credential ID | 742463 |
| Credential Number | 23.000714 |
| Credential Type | Physician Assistant |
| Business Address |
222 Riverside Dr Apt 3f New York NY 10025 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1998-01-23 |
| Effective Date | 2005-01-28 |
| Expiration Date | 2006-03-31 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 879632 | 72.001425 | Paramedic | 1999-10-22 | 2005-01-28 - 2006-03-31 | INACTIVE |
| 192130 | CSP.0026497 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-03-01 - 2006-02-28 | INACTIVE | |
| 2006253 | 1 | Physician/Surgeon | - | PENDING |
| Street Address | 222 RIVERSIDE DR APT 3F |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James R Braddock | 310 Riverside Dr Apt #1033, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Robert B Freeman Jr | 310 Riverside Dr Apt #2204, New York, NY 10025 | Architect | 2020-06-12 ~ 2021-07-31 |
| Arthur S Pier | 315 Riverside Dr Apt 19d, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Cephas P Swamidoss | 370 Central Park West, New York, NY 10025 | Physician/surgeon | 1995-06-30 ~ 2005-02-28 |
| Michael Williams | Po Box 250258, New York, NY 10025 | Master's Level Social Worker | 2020-09-01 ~ 2021-08-31 |
| Floyd G Brezavar | 36 West 95th Street, New York, NY 10025 | Architect | 2018-08-01 ~ 2019-07-31 |
| Pamela Godwin | 245 West 107th Street, New York, NY 10025 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tara A. Smith | 54 West 106 Street Apt 1a, New York, NY 10025 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Theresa Linsner | 765 Amsterdam Avenue Apt 9a, New York, NY 10025 | Physician/surgeon | 2020-03-02 ~ 2021-03-31 |
| Hazem Abdelsalam | 808 Columbus Ave, New York, NY 10025 | Physician/surgeon | 2020-02-25 ~ 2020-09-30 |
| Find all Licenses in zip 10025 | |||
| City | NEW YORK |
| Zip Code | 10025 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter A Fish · Peter A Fish Construction | 165 Summit St, Willimantic, CT 06226 | Home Improvement Contractor | 2000-12-01 ~ 2001-11-30 |
| Peter Zhang | 213 Ramapoo Rd, Ridgefield, CT 06877-3734 | Physician Assistant | ~ |
| Peter A Davis | 75 Eastern Point Rd., Groton, CT 06340 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Peter Joseph Lopez Pa | 63 Pinacle Rd, Glastonbury, CT 06033-2521 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Peter A Rosenblum | 12301 Ne Olive Dr, Kingston, WA 98346-9266 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Peter J Gruca | 7 Deerfield Ln, South Windsor, CT 06074-2832 | Physician Assistant | 2014-08-01 ~ 2015-07-31 |
| Peter S Nelson Pa | 64 Winding Lane, Avon, CT 06001 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Peter A Michaud Pa | 107 Dean Street, Stamford, CT 06902 | Physician Assistant | 2000-08-01 ~ 2001-07-31 |
| Peter J. Kowalski | 6242 Sturbridge Court, Sarasota, FL 34238 | Physician Assistant | 2018-11-01 ~ 2019-10-31 |
| Peter S Sandor Pa | 10 Deer Run Road, North Haven, CT 06473 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on PETER N FISH.
| 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).