VIVIAN G. NG
Physician/surgeon


Address: 24629 52nd Ave, Douglaston, NY 11362-1605

VIVIAN G. NG (Credential# 1055907) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.

Business Overview

VIVIAN G. NG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050891. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 24629 52nd Ave, Douglaston, NY 11362-1605. The current status is active.

Basic Information

Licensee Name VIVIAN G. NG
Credential ID 1055907
Credential Number 1.050891
Credential Type Physician/Surgeon
Business Address 24629 52nd Ave
Douglaston
NY 11362-1605
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2012-05-03
Effective Date 2020-09-01
Expiration Date 2021-08-31
Refresh Date 2020-06-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1269853 CSP.0059625 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-03-03 2019-03-01 - 2021-02-28 ACTIVE
1085298 CSP.0053313 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-08-16 2012-08-16 - 2013-02-28 INACTIVE

Office Location

Street Address 24629 52ND AVE
City DOUGLASTON
State NY
Zip Code 11362-1605

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Jeong E Lee 6707 242nd St Unit 23b, Douglaston, NY 11362 Combination Nail Technician, Esthetician Or Eyelash Technici ~
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Joo Ryun Ko 53-28 Marathon Pkwy., Little Neck, NY 11362 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Hee J Cho 246-11 51st Ave, Douglaston, NY 11362 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Kwiyup Kim 240-27 69th Ave #2, Flushing, CT 11362 Combination Nail Technician, Esthetician Or Eyelash Technici ~
Jin Ni 5444 Little Neck Pkwy, Little Neck, NY 11362 Nail Technician ~
Miguel Valcarcel 256-43 Grand Central Pkwy, Little Neck, NY 11362 Architect 2018-12-11 ~ 2019-07-31
Il Soo Han 63-81 Douglaston Parkway, Douglaston, NY 11362 Hairdresser/cosmetician 2020-04-01 ~ 2022-03-31
Jaewook Kwon 6019 251st Street, Little Neck, NY 11362 Professional Engineer 2020-02-01 ~ 2021-01-31
Jennifer Wolfman 47-33 245th St, Douglaston, NY 11362 Physician Assistant ~
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Competitor

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City DOUGLASTON
Zip Code 11362
License Type Physician/Surgeon
License Type + County Physician/Surgeon + DOUGLASTON

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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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