AMI ABRAHAM DO
Physician/surgeon


Address: 5 Tudor Rd, Hicksville, NY 11801-5326

AMI ABRAHAM DO (Credential# 945592) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2015. The license expiration date date is December 31, 2015. The license status is INACTIVE.

Business Overview

AMI ABRAHAM DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049387-DO. The credential type is physician/surgeon. The effective date is January 1, 2015. The expiration date is December 31, 2015. The business address is 5 Tudor Rd, Hicksville, NY 11801-5326. The current status is inactive.

Basic Information

Licensee Name AMI ABRAHAM DO
Credential ID 945592
Credential Number 1.049387-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address 5 Tudor Rd
Hicksville
NY 11801-5326
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-12-07
Effective Date 2015-01-01
Expiration Date 2015-12-31
Refresh Date 2016-04-04

Other licenses

ID Credential Code Credential Type Issue Term Status
938726 CSP.0047884 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-07-08 2011-03-01 - 2013-02-28 INACTIVE

Office Location

Street Address 5 TUDOR RD
City HICKSVILLE
State NY
Zip Code 11801-5326

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Competitor

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City HICKSVILLE
Zip Code 11801
License Type Physician/Surgeon
License Type + County Physician/Surgeon + HICKSVILLE

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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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