STACEY R LEEDS
Physical Therapist


Address: 157 Groton Pl, West Hempstead, NY 11552-1607

STACEY R LEEDS (Credential# 1149263) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2017. The license expiration date date is December 31, 2017. The license status is INACTIVE.

Business Overview

STACEY R LEEDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009692. The credential type is physical therapist. The effective date is January 1, 2017. The expiration date is December 31, 2017. The business address is 157 Groton Pl, West Hempstead, NY 11552-1607. The current status is inactive.

Basic Information

Licensee Name STACEY R LEEDS
Credential ID 1149263
Credential Number 14.009692
Credential Type Physical Therapist
Business Address 157 Groton Pl
West Hempstead
NY 11552-1607
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2013-02-19
Effective Date 2017-01-01
Expiration Date 2017-12-31
Refresh Date 2018-04-05

Office Location

Street Address 157 GROTON PL
City WEST HEMPSTEAD
State NY
Zip Code 11552-1607

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Tamir Aldad 510 Hempstead Tpk, West Hempstead, NY 11552 Physician/surgeon 2019-09-03 ~ 2020-09-30
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Eliezer Halpert 256 Windsor Ln, West Hempsted, NY 11552 Controlled Substance Registration for Practitioner 2019-02-15 ~ 2021-02-28
Rose Laure Valme 354 Hempstead Ave, West Hempstead, NY 11552 Registered Nurse 2018-02-16 ~ 2018-07-31
Evangeline S Molina 235 Walton Street, West Hempstead, NY 11552 Registered Nurse 2017-06-01 ~ 2018-05-31
Nick Associated Inc 88 Mayfair Ave, West Hempstead, NY 11552 Home Improvement Contractor 2000-12-01 ~ 2001-11-30
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Competitor

Search similar business entities

City WEST HEMPSTEAD
Zip Code 11552
License Type Physical Therapist
License Type + County Physical Therapist + WEST HEMPSTEAD

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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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