PETER D COSTANTINO (Credential# 916142) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
PETER D COSTANTINO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048967. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 4 Westchester Park Dr Fl 4, White Plains, NY 10604-3434. The current status is active.
| Licensee Name | PETER D COSTANTINO |
| Credential ID | 916142 |
| Credential Number | 1.048967 |
| Credential Type | Physician/Surgeon |
| Business Address |
4 Westchester Park Dr Fl 4 White Plains NY 10604-3434 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-07-07 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2047087 | CSP.0074093 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-05-21 | 2020-05-21 - 2021-02-28 | ACTIVE |
| Street Address | 4 WESTCHESTER PARK DR FL 4 |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10604-3434 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kelsey Ruth Kimble | 4 Westchester Park Dr Fl 4, White Plains, NY 10604-3434 | Registered Nurse | 2020-06-12 ~ 2021-04-30 |
| Chiedozie Ikechi Nwagwu | 4 Westchester Park Dr Fl 4, White Plains, NY 10604-3434 | Controlled Substance Registration for Practitioner | 2020-01-21 ~ 2021-02-28 |
| Chihiro Shinohara | 4 Westchester Park Dr Fl 4, White Plains, NY 10604-3434 | Physician Assistant | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Stefania Maria Perez | 121 Macri Ave, West Harrison, NY 10604 | Registered Nurse | ~ |
| Danielle Piacente | 56 Underhill Avenue, West Harrison, NY 10604 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Kimberly Papachristou | 1 Golden Pond Road, West Harrison, NY 10604 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Naixi Li | 83 Park Lane, West Harrison, NY 10604 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lee C Toterhi | 160 Gainsborg Ave E, West Harrison, NY 10604 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emanuel I Wurm Do | Westchester Medical Group PC, White Plains, NY 10604 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Edward G Swaby | 25 Chadwick Rd, White Plains, NY 10604 | Architect | 2018-08-01 ~ 2019-07-31 |
| Christina C Blanco | 210 Westchester Avenue, White Plains, NY 10604 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Caleb K Charny Md | 210 Westchester Ave, White Plains, NY 10604 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Paul C Moloney Jr · Paul C Moloney Inc | 12 High Ridge Road, West Harrison, NY 10604 | Swimming Pool Builder - In Ground | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10604 | |||
| City | WHITE PLAINS |
| Zip Code | 10604 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WHITE PLAINS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David A Costantino | 1746 Cole Blvd Ste 150, Lakewood, CO 80401-3267 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
| Antonio Costantino | 328 Campbell Ave, West Haven, CT 06516-5330 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Costantino Nero D'avola | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2015-01-16 ~ 2018-01-15 |
| Peter E Bentivegna | P.o. Box 73, Osterville, MA 02655 | Physician/surgeon | 1993-06-24 ~ 1994-03-31 |
| Peter M Dean Md | Rr 1 Box 296, Woodstock, VT 05091-9507 | Physician/surgeon | 2002-03-18 ~ 2003-05-31 |
| Peter Heseltine | Lac&usc Med Ctr, Los Angeles, CA 90033 | Physician/surgeon | 1995-08-07 ~ 1996-08-31 |
| Peter Liu | 503 Main St Apt 5, Great Barrington, MA 01230-2152 | Physician/surgeon | ~ |
| Peter S Johnston | P.o. Box 67, Barryville, NY 12719 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Peter M. Kigonya | 253 Front St, New Haven, CT 06513-3203 | Physician/surgeon | ~ |
| Peter O Rostenberg | Po Box B, New Fairfield, CT 06812 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
Please comment or provide details below to improve the information on PETER D COSTANTINO.
| 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).