REFKY NICOLA DO
Physician/surgeon


Address: Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263

REFKY NICOLA DO (Credential# 973164) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

REFKY NICOLA DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049532-DO. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263. The current status is active.

Basic Information

Licensee Name REFKY NICOLA DO
Credential ID 973164
Credential Number 1.049532-DO
Credential Type Physician/Surgeon
Credential SubCategory DO
Business Address Roswell Park Comprehensive Cancer Center
Buffalo
NY 14263
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2011-02-23
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-04-14

Other licenses

ID Credential Code Credential Type Issue Term Status
984262 CSP.0049613 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-09-26 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address Roswell Park Comprehensive Cancer Center,
City Buffalo
State NY
Zip Code 14263

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Juanne Osigweh Elm and Carlton Street, Buffalo, NY 14263 Controlled Substance Registration for Practitioner 2008-03-01 ~ 2009-02-28

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City Buffalo
Zip Code 14263
License Type Physician/Surgeon
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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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