NEIL C. SRIVASTAVA MD (Credential# 932875) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
NEIL C. SRIVASTAVA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0047670. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 8 Penelope Dr, Setauket, NY 11733-2010. The current status is active.
| Licensee Name | NEIL C. SRIVASTAVA MD |
| Credential ID | 932875 |
| Credential Number | CSP.0047670 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
8 Penelope Dr Setauket NY 11733-2010 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-05-27 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 926128 | 1.048789 | Physician/Surgeon | 2010-05-25 | 2019-08-01 - 2020-07-31 | ACTIVE |
| Street Address | 8 PENELOPE DR |
| City | SETAUKET |
| State | NY |
| Zip Code | 11733-2010 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven H Krinsky | 5 Merlin Lane, Setauket, NY 11733 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Katarzyna Gray | 1 Club House Ct, Setauket, NY 11733 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Kambiz Nassiri | 6 Club House Court, E Setauket, NY 11733 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Alexa S Primavera | 7 Dorm Court, East Setauket, NY 11733 | Emergency Medical Technician | ~ |
| Joseph Ilasi | Long Island Pathology, Inc., East Setauket, NY 11733 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Inessa Safarov | 2 Flint Ct, East Setauket, NY 11733 | Dentist | 2019-09-01 ~ 2020-08-31 |
| David J Ben-eliyahu | 20 Abbey La, Setauket, NY 11733 | Chiropractor | 2019-04-01 ~ 2020-03-31 |
| Eugene Matthew Daniel Arena | 2 Lynx Lane, East Setauket, NY 11733 | Registered Nurse | 2019-05-01 ~ 2020-04-30 |
| Robert T Gongolewski · Brothers Chimney Service Inc | 48 Julia Cirle, Setauket, NY 11733 | Home Improvement Salesperson | 1997-12-30 ~ 1998-11-30 |
| James L Seccadanari · Jason Witover/prof Chimney Company | 30 Fireside Lane, East Setauket, NY 11733 | Home Improvement Salesperson | 1998-12-31 ~ 1999-11-30 |
| Find all Licenses in zip 11733 | |||
| City | SETAUKET |
| Zip Code | 11733 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + SETAUKET |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shrinkhala Srivastava | 282 Washington St, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Swati Srivastava | 50 Lawrence Ave, Danbury, CT 06810 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Akanksha Srivastava | 357 Brittany Farms Rd Apt 338, New Britain, CT 06053-1105 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Neil S Weintraub Md | 1 Theall Rd, Rye, NY 10580 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Neil S Kumar | 413 S 9th St Apt D, Philadelphia, PA 19147-1335 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Neil S Nichols Md | 167 Purchase St, Rye, NY 10580-2171 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Neil P Dreyer Md | 51 Schuyler Ave, Stamford, CT 06902 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neil F Petersen | 433 Highland Dr, Waterbury, CT 06708-3651 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neil S Mandel | 35 Rayo Dr, Shelton, CT 06484-2450 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Neil D Ventura | 13 Cartier Rd, Enfield, CT 06082-2546 | Controlled Substance Registration for Practitioner | 2015-07-27 ~ 2017-02-28 |
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| 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).