NADIA P BALDEO-PONNAPPAN
Physician Assistant


Address: 166 Devonshire Drive, New Hyde Park, NY 11040

NADIA P BALDEO-PONNAPPAN (Credential# 743125) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 22, 2009. The license expiration date date is August 31, 2010. The license status is INACTIVE.

Business Overview

NADIA P BALDEO-PONNAPPAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001376. The credential type is physician assistant. The effective date is June 22, 2009. The expiration date is August 31, 2010. The business address is 166 Devonshire Drive, New Hyde Park, NY 11040. The current status is inactive.

Basic Information

Licensee Name NADIA P BALDEO-PONNAPPAN
Credential ID 743125
Credential Number 23.001376
Credential Type Physician Assistant
Business Address 166 Devonshire Drive
New Hyde Park
NY 11040
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-09-11
Effective Date 2009-06-22
Expiration Date 2010-08-31
Refresh Date 2010-12-01

Office Location

Street Address 166 Devonshire Drive
City New Hyde Park
State NY
Zip Code 11040

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Deborah J Dolan 1106 Jericho Tpke, New Hyde Park, NY 11040 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
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Competitor

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City New Hyde Park
Zip Code 11040
License Type Physician Assistant
License Type + County Physician Assistant + New Hyde Park

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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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