MIRIAM AMBALU (Credential# 1196421) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MIRIAM AMBALU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.052753. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 31 Disbrow Cir, New Rochelle, NY 10804-2503. The current status is active.
| Licensee Name | MIRIAM AMBALU |
| Credential ID | 1196421 |
| Credential Number | 1.052753 |
| Credential Type | Physician/Surgeon |
| Business Address |
31 Disbrow Cir New Rochelle NY 10804-2503 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-02-20 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-06 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1208324 | CSP.0056755 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2014-03-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 31 DISBROW CIR |
| City | NEW ROCHELLE |
| State | NY |
| Zip Code | 10804-2503 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kathryn E Manfredo | 137 Norman Road, New Rochelle, NY 10804 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Victor M Castillo | 15 Gaby Lane, New Rochelle, NY 10804 | Architect | 2020-08-01 ~ 2021-07-31 |
| Amanda C D'onofrio | 11 Gladstone Rd, New Rochelle, NY 10804 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| William F Lore | 412 Stratton Rd, New Rochelle, NY 10804 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Melvin M Beacher | 1273 North Ave, New Rochelle, NY 10804 | Architect | 2018-08-01 ~ 2019-07-31 |
| Paul M Mccann | 190 Broadview Ave (mci), New Rochelle, NY 10804 | Architect | 2018-08-01 ~ 2019-07-31 |
| Eileen N Kelly | 96 Pryer Terr, New Rochelle, NY 10804 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Naava Ronit Abelow | 251 Rose Hill Ave, New Rochelle, NY 10804 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charles B Walsh | 39 Brookridge Rd., New Rochelle, NY 10804 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Lori H Costa | 6 James Drive, New Rochelle, NY 10804 | Speech and Language Pathologist | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in zip 10804 | |||
| City | NEW ROCHELLE |
| Zip Code | 10804 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW ROCHELLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Miriam U Schoepf | Im Mittelbusch 9, Berlin, 14129 | Physician/surgeon | 2002-01-25 ~ 2003-03-31 |
| Miriam B Schechter | 2437 Bedford St, Stamford, CT 06905 | Physician/surgeon | 1981-01-01 ~ 1993-06-30 |
| Miriam J Gamble | 719 Mount Vernon St Apt 7, Orlando, FL 32803-5349 | Physician/surgeon | 2016-04-01 ~ 2017-03-31 |
| Miriam H Chung | 39 Willard Street, New Haven, CT 06515 | Physician/surgeon | 2003-02-14 ~ 2004-01-31 |
| Miriam S Cohen Md | 333 Christian Street, Wallingford, CT 06492 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Miriam F Seelig | 96 Rockwood Lane, Greenwich, CT 06830 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Okwuchi Miriam Ogbonna | 12 Spindle Hill Rd Apt 7d, Wolcott, CT 06716-1743 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Miriam M Friedlander | Hartford Hospital, Hartford, CT 06102 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Miriam E Vitale | 46 Ash Swamp Rd, Woodbury, CT 06798-2919 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Miriam Feinstein | 245 Lakeview Ter, New Haven, CT 06515-1812 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on MIRIAM AMBALU.
| 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).