GERARD A BALTAZAR (Credential# 1072633) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2014. The license expiration date date is June 30, 2015. The license status is INACTIVE.
GERARD A BALTAZAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.050984-DO. The credential type is physician/surgeon. The effective date is July 1, 2014. The expiration date is June 30, 2015. The business address is 220 Manhattan Ave Apt 3j, New York, NY 10025-2664. The current status is inactive.
| Licensee Name | GERARD A BALTAZAR |
| Credential ID | 1072633 |
| Credential Number | 1.050984-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
220 Manhattan Ave Apt 3j New York NY 10025-2664 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2012-06-01 |
| Effective Date | 2014-07-01 |
| Expiration Date | 2015-06-30 |
| Refresh Date | 2015-10-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1117034 | CSP.0053473 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2012-10-04 | 2013-03-06 - 2015-02-28 | INACTIVE |
| Street Address | 220 MANHATTAN AVE APT 3J |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-2664 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James R Braddock | 310 Riverside Dr Apt #1033, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Robert B Freeman Jr | 310 Riverside Dr Apt #2204, New York, NY 10025 | Architect | 2020-06-12 ~ 2021-07-31 |
| Arthur S Pier | 315 Riverside Dr Apt 19d, New York, NY 10025 | Architect | 2020-08-01 ~ 2021-07-31 |
| Cephas P Swamidoss | 370 Central Park West, New York, NY 10025 | Physician/surgeon | 1995-06-30 ~ 2005-02-28 |
| Michael Williams | Po Box 250258, New York, NY 10025 | Master's Level Social Worker | 2020-09-01 ~ 2021-08-31 |
| Floyd G Brezavar | 36 West 95th Street, New York, NY 10025 | Architect | 2018-08-01 ~ 2019-07-31 |
| Pamela Godwin | 245 West 107th Street, New York, NY 10025 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Tara A. Smith | 54 West 106 Street Apt 1a, New York, NY 10025 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Theresa Linsner | 765 Amsterdam Avenue Apt 9a, New York, NY 10025 | Physician/surgeon | 2020-03-02 ~ 2021-03-31 |
| Hazem Abdelsalam | 808 Columbus Ave, New York, NY 10025 | Physician/surgeon | 2020-02-25 ~ 2020-09-30 |
| Find all Licenses in zip 10025 | |||
| City | NEW YORK |
| Zip Code | 10025 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arturo E Baltazar | 54 Palmorr Pl, Bristol, CT 06010-3165 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Gerard D. Brown | 97 Gail Cir, Wyomissing, PA 19610-3118 | Physician/surgeon | ~ |
| Gerard J Girasole | Osm, Trumbull, CT 06611 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gerard B Hayes | 365 Highland Ave, Quincy, MA 02170 | Physician/surgeon | 1994-01-03 ~ 1995-01-31 |
| Gerard J Marek Md | 54 Pease Rd, Woodbridge, CT 06525-2033 | Physician/surgeon | 2003-04-14 ~ 2004-01-31 |
| Gerard J Kerins | 481 Bartlett Dr, Madison, CT 06443 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Gerard J Lawrence | 11 Meetinghouse Ln, Old Lyme, CT 06371-1634 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Gerard J Foye Jr | 20 Alan Avenue, Danbury, CT 06811 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gerard H Murphy | 48 Sawmill Crossing, Wethersfield, CT 06109 | Physician/surgeon | 1997-03-11 ~ 1998-03-31 |
| Douglas A Gerard Md | 536 Main Street, New Hartford, CT 06057 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).