PETER D FABRICANT (Credential# 1335954) 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.
PETER D FABRICANT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055207. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 535 E 70th St, New York, NY 10021-4823. The current status is active.
| Licensee Name | PETER D FABRICANT |
| Credential ID | 1335954 |
| Credential Number | 1.055207 |
| Credential Type | Physician/Surgeon |
| Business Address |
535 E 70th St New York NY 10021-4823 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-05-02 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1351298 | CSP.0062561 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-05-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 535 E 70TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-4823 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Evan David Sheha | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Darryl B Sneag | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gregory R Saboeiro | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Alissa J Burge | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Shari T Jawetz | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sravisht Iyer | 535 E 70th St, New York, NY 60661 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Meghan E Sahr | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-03-10 ~ 2021-03-31 |
| Theodore T Miller | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Catherine Marie De Stio | 535 E 70th St, New York, NY 10021-4823 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Yoshimi Endo | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John A Carrino | 535 E 70th St Fl 3, New York, NY 10021-4823 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Genewo Hong | 535 E 70th St Rm 853w, New York, NY 10021-4823 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anuj Malhotra | 429 East 75th St, 5th Floor, New York, NY 10021 | Physician/surgeon | ~ |
| Lenox Chemists Inc | 422 East 75th Street, New York, NY 10021 | Nonresident Pharmacy | ~ |
| Katherine Nicole Day | 310 E 71st Street, New York, NY 10021 | Registered Nurse | ~ |
| Jordan D Metzl Md | Hospital for Special Surgery, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lisa F Schneider | 820 Park Avenue, New York, NY 10021 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Ryan C Ciambriello | 423 E 73rd St. Apt 2d, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Maxxwell S Crowley | 315 East 73 Rd Street Apt #4, New York, NY 10021 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jean P Simon | 36 E 70 Th Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Todd James Albert | 541 East 71st Street, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Russell F Warren Md | 535 East 70th St, New York, NY 10021 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 10021 | |||
| City | NEW YORK |
| Zip Code | 10021 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Peter S Johnston | P.o. Box 67, Barryville, NY 12719 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Peter Liu | 503 Main St Apt 5, Great Barrington, MA 01230-2152 | Physician/surgeon | ~ |
| Peter E Pascal Md | 7 Elm St Ste 203, Enfield, CT 06082-3670 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Peter M. Kigonya | 253 Front St, New Haven, CT 06513-3203 | Physician/surgeon | ~ |
| Peter E Spalding | Po Box 133, Portland, CT 06480 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Peter M Dean Md | Rr 1 Box 296, Woodstock, VT 05091-9507 | Physician/surgeon | 2002-03-18 ~ 2003-05-31 |
| Peter Heseltine | Lac&usc Med Ctr, Los Angeles, CA 90033 | Physician/surgeon | 1995-08-07 ~ 1996-08-31 |
| Peter L Steenbergen Md | 4 Fox Run Dr, Easton, CT 06612-1200 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Peter G Markos | P.o.box 732 (5-l), Dover, NH 03821-0732 | Physician/surgeon | 2009-08-01 ~ 2010-07-31 |
| Peter E Bentivegna | P.o. Box 73, Osterville, MA 02655 | Physician/surgeon | 1993-06-24 ~ 1994-03-31 |
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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).