MIRIAM E PARKER
Nursing Home Administrator


Address: 1349 Lexington Ave Apt 3a, New York, NY 10128-1514

MIRIAM E PARKER (Credential# 765376) is licensed (Nursing Home Administrator) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2018. The license expiration date date is April 30, 2020. The license status is ACTIVE.

Business Overview

MIRIAM E PARKER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #36.001130. The credential type is nursing home administrator. The effective date is May 1, 2018. The expiration date is April 30, 2020. The business address is 1349 Lexington Ave Apt 3a, New York, NY 10128-1514. The current status is active.

Basic Information

Licensee Name MIRIAM E PARKER
Credential ID 765376
Credential Number 36.001130
Credential Type Nursing Home Administrator
Business Address 1349 Lexington Ave Apt 3a
New York
NY 10128-1514
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1988-01-07
Effective Date 2018-05-01
Expiration Date 2020-04-30
Refresh Date 2018-04-03

Other licenses

ID Credential Code Credential Type Issue Term Status
779754 58.001486 Licensed Clinical Social Worker 1986-10-01 2018-05-01 - 2019-04-30 INACTIVE

Office Location

Street Address 1349 LEXINGTON AVE APT 3A
City NEW YORK
State NY
Zip Code 10128-1514

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Tyler S Lucas Md 1349 Lexington Avenue #4d, New York, NY 10128 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Peter S Rattner 50 East 89th St, New York, NY 10128 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Competitor

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City NEW YORK
Zip Code 10128
License Type Nursing Home Administrator
License Type + County Nursing Home Administrator + NEW YORK

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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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