PABLO HERSCOVICI MD
Controlled Substance Registration for Practitioner


Address: 280 Rector Pl Apt 6c, New York, NY 10280-1140

PABLO HERSCOVICI MD (Credential# 918405) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.

Business Overview

PABLO HERSCOVICI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047332. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 280 Rector Pl Apt 6c, New York, NY 10280-1140. The current status is inactive.

Basic Information

Licensee Name PABLO HERSCOVICI MD
Credential ID 918405
Credential Number CSP.0047332
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 280 Rector Pl Apt 6c
New York
NY 10280-1140
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2010-03-12
Effective Date 2011-03-01
Expiration Date 2013-02-28
Refresh Date 2014-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
562568 1.044986 Physician/Surgeon 2006-12-20 2011-11-01 - 2012-10-31 INACTIVE

Office Location

Street Address 280 RECTOR PL APT 6C
City NEW YORK
State NY
Zip Code 10280-1140

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City NEW YORK
Zip Code 10280
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + 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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