SHINU KURIAKOSE (Credential# 742879) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2019. The license expiration date date is July 31, 2020. The license status is ACTIVE.
SHINU KURIAKOSE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001130. The credential type is physician assistant. The effective date is August 1, 2019. The expiration date is July 31, 2020. The business address is 54 Edgewood Dr, New Hyde Park, NY 11040-3738. The current status is active.
| Licensee Name | SHINU KURIAKOSE |
| Credential ID | 742879 |
| Credential Number | 23.001130 |
| Credential Type | Physician Assistant |
| Business Address |
54 Edgewood Dr New Hyde Park NY 11040-3738 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2001-11-08 |
| Effective Date | 2019-08-01 |
| Expiration Date | 2020-07-31 |
| Refresh Date | 2019-10-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 315828 | CSP.0032426 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-03-01 - 2013-02-28 | INACTIVE |
| Street Address | 54 EDGEWOOD DR |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-3738 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony Noto | 38 Edgewood Dr, New Hyde Park, NY 11040-3738 | Emergency Medical Technician | 2018-05-30 ~ 2021-04-01 |
| Charlie H Zuo | 66 Edgewood Dr, New Hyde Park, NY 11040-3738 | Professional Engineer | 2012-05-23 ~ 2012-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Hibah Aijaz | 54 Herbert Drive, New Hyde Park, NY 11040 | Physician/surgeon | 2018-12-03 ~ 2019-12-31 |
| Anna Marie Jardine · Harvey | 39 Flag Lane, New Hyde Park, NY 11040 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Bruce H Safran | 2101 Royal Court, North Hills, NY 11040 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Roy B Cohen | 105 Elm La, New Hyde Park, NY 11040 | Optometrist | 2020-04-01 ~ 2021-03-31 |
| Poko Management Corp | 2417 Jericho Tpke, New Hyde Park, NY 11040 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Michael A. Bianco | 50 Rose Place, Garden City Park, NY 11040 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Ananthakumar Thillainathan | 5 Camden Place, Newhydepark, NY 11040 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Deborah J Dolan | 1106 Jericho Tpke, New Hyde Park, NY 11040 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Gracemon Kuriakose | 1042 Hillside Blvd, New Hyde Park, NY 11040 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Johnson D Daniel | 121 South 9th Street, New Hyde Park, NY 11040 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| Find all Licenses in zip 11040 | |||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + NEW HYDE PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shinu Abraham | 1940 77th Street, East Elmhurst, NY 11370 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Shawn Kuriakose | Floral Park, NY 11004 | Pharmacy Intern | 2016-08-24 ~ 2019-09-30 |
| Sowmini E Kuriakose | 775 Tahmore Dr., Fairfield, CT 06825 | Dietitian/nutritionist | 2019-12-01 ~ 2020-11-30 |
| Tessy Kuriakose | 26 Franklin St, Danielson, CT 06239-3506 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Binoy Kurian Kuriakose | 52 Brisbane St, New Hyde Park, NY 11040-3808 | Pharmacist | 2018-02-01 ~ 2020-01-31 |
| Susan J Kuriakose · Johnston | 41 Arborway, Boston, MA 02130 | Registered Nurse | ~ 1995-12-31 |
| Lini Kuriakose | 126 Cranberry Bog Road, Danielson, CT 06239 | Registered Nurse | 2008-08-11 ~ 2009-08-31 |
| Sneha Kuriakose | 111 Stage Coach Lane, Newington, CT 06111 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on SHINU KURIAKOSE.
| 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).