AMANDA J MCCABE
Physician Assistant


Address: 189 Cornwall Hill Rd, Patterson, NY 12563-2551

AMANDA J MCCABE (Credential# 743272) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

AMANDA J MCCABE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001523. The credential type is physician assistant. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 189 Cornwall Hill Rd, Patterson, NY 12563-2551. The current status is active.

Basic Information

Licensee Name AMANDA J MCCABE
Credential ID 743272
Credential Number 23.001523
Credential Type Physician Assistant
Business Address 189 Cornwall Hill Rd
Patterson
NY 12563-2551
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-09-28
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-04-29

Other licenses

ID Credential Code Credential Type Issue Term Status
383734 CSP.0036506 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-10-15 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 189 CORNWALL HILL RD
City PATTERSON
State NY
Zip Code 12563-2551

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Competitor

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City PATTERSON
Zip Code 12563
License Type Physician Assistant
License Type + County Physician Assistant + PATTERSON

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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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