BARRY T SMITH
Physician/surgeon


Address: 6 Mirrielees Cir, Great Neck, NY 11021-2926

BARRY T SMITH (Credential# 1244852) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 23, 2020. The license expiration date date is December 31, 2020. The license status is ACTIVE.

Business Overview

BARRY T SMITH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.053572. The credential type is physician/surgeon. The effective date is March 23, 2020. The expiration date is December 31, 2020. The business address is 6 Mirrielees Cir, Great Neck, NY 11021-2926. The current status is active.

Basic Information

Licensee Name BARRY T SMITH
Credential ID 1244852
Credential Number 1.053572
Credential Type Physician/Surgeon
Business Address 6 Mirrielees Cir
Great Neck
NY 11021-2926
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2014-10-03
Effective Date 2020-03-23
Expiration Date 2020-12-31
Refresh Date 2020-03-24

Other licenses

ID Credential Code Credential Type Issue Term Status
1248919 CSP.0058836 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-10-07 2015-03-01 - 2017-02-28 INACTIVE

Office Location

Street Address 6 MIRRIELEES CIR
City GREAT NECK
State NY
Zip Code 11021-2926

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City GREAT NECK
Zip Code 11021
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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