MARYANN FARINA (Credential# 742636) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
MARYANN FARINA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.000887. The credential type is physician assistant. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 100 Patriots Road, Stony Brook, NY 11790. The current status is active.
| Licensee Name | MARYANN FARINA |
| Credential ID | 742636 |
| Credential Number | 23.000887 |
| Credential Type | Physician Assistant |
| Business Address |
100 Patriots Road Stony Brook NY 11790 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1999-10-28 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 350058 | CSP.0034187 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2003-10-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 100 Patriots road |
| City | Stony Brook |
| State | NY |
| Zip Code | 11790 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karen F Foda | 14 William Penn Dr, Stony Brook, NY 11790 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Gregory D Peterman | 4 Ormont Lane, Stony Brook, NY 11790 | Land Surveyor | 2020-02-01 ~ 2021-01-31 |
| James R Tauby | 5 Botany Lane, Stony Brook, NY 11790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| William J Lahti | 8 Brookview Ct, Stony Brook, NY 11790 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Marie S Anderson | 3 Midfield Street, Stony Brook, NY 11790 | Notary Public Appointment | 1999-08-03 ~ 2004-08-31 |
| Jennifer L H Moller | Post Office Box 78, Stony Brook, NY 11790 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Anthom Building LLC | 8 Shore Road, Stony Brook, NY 11790 | New Home Construction Contractor | 2015-10-02 ~ 2017-09-30 |
| Frank M Russo | 51 Hargrove Drive, Stony Brook, NY 11790 | Professional Engineer | 2017-02-01 ~ 2018-01-31 |
| James T Suazo | 5 Lilac Drive, Stony Brook, NY 11790 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
| Dilshan N Gunawardena | 32 Meadow Drive, Stony Brook, NY 11790 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Find all Licenses in zip 11790 | |||
| City | Stony Brook |
| Zip Code | 11790 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + Stony Brook |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Maryann F Ramos Pa | 35 Homestead Rd, Greenwich, CT 06831-4222 | Physician Assistant | 2012-04-01 ~ 2013-03-31 |
| Joseph P Farina · Farina Associates PC | 43 New Britain Ave, Unionville, CT 06085 | Professional Engineer | 1989-02-06 ~ 1990-01-31 |
| Maria E Farina · Farina | 695 Woodruff Road, Milford, CT 06460 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Nicholas Rowland Farina · Farina Construction | 8 Sands Dr, Old Lyme, CT 06371-1641 | Home Improvement Contractor | 2012-12-01 ~ 2013-11-30 |
| Farina | 516 Route 80, Guilford, CT 06437-1224 | Bakery | 2017-07-01 ~ 2018-06-30 |
| Farina Builders LLC | 25 Charter Oak Avenue, Hartford, CT 06106 | New Home Construction Contractor | 2007-10-01 ~ 2009-09-30 |
| Anthony G. Farina Jr. | 1830 Mineral Spring Ave, North Providence, RI 02904-3864 | Physician/surgeon | 2017-03-01 ~ 2018-02-28 |
| Maryann Schinella | 86 Club Rd, Stamford, CT 06905-2119 | Physical Therapist Assistant | 2019-08-01 ~ 2020-07-31 |
| Maryann P Piamonte | 123 Ohayo Mountain Rd, Woodstock, NY 12498-2518 | Physical Therapist Assistant | 2020-05-01 ~ 2021-04-30 |
| Maryann Fodor | 4 Birchwood Drive, Dayville, CT 06241 | Family Child Care Assistant | 1995-12-30 ~ 1995-12-30 |
Please comment or provide details below to improve the information on MARYANN FARINA.
| 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).