MATTHEW D BACCHETTA (Credential# 1337877) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 29, 2017. The license expiration date date is February 28, 2018. The license status is INACTIVE.
MATTHEW D BACCHETTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.056304. The credential type is physician/surgeon. The effective date is March 29, 2017. The expiration date is February 28, 2018. The business address is 161 Fort Washington Ave, New York, NY 10032-3729. The current status is inactive.
| Licensee Name | MATTHEW D BACCHETTA |
| Credential ID | 1337877 |
| Credential Number | 1.056304 |
| Credential Type | Physician/Surgeon |
| Business Address |
161 Fort Washington Ave New York NY 10032-3729 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2017-03-29 |
| Effective Date | 2017-03-29 |
| Expiration Date | 2018-02-28 |
| Refresh Date | 2018-06-03 |
| Street Address | 161 FORT WASHINGTON AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3729 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lisa F Imundo | 161 Fort Washington Ave, New York, NY 10036 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Marlon S Rosenbaum | 161 Fort Washington Ave, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Michael B Collins | 161 Fort Washington Ave, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| George D Dangas Md | 161 Fort Washington Ave, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2009-03-31 ~ 2011-02-28 |
| Daniel H Smith Md | 161 Fort Washington Ave, New York, NY 10032 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| Diljeet K Singh Md | 161 Fort Washington Ave, New York, NY 10032 | Physician/surgeon | 2001-01-08 ~ 2001-11-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Catherine Mary Mcmanus | 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 | Physician/surgeon | 2020-06-01 ~ 2021-06-30 |
| Robert T Grant Md | 161 Fort Washington Ave Rm 511, New York, NY 10032-3729 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Joshua R Sonett | 161 Fort Washington Ave Fl 3, New York, NY 10032-3729 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hope & Heroes Childrens Cancer Fund | 161 Fort Washington Ave # Ip-7, New York, NY 10032-3729 | Public Charity | 2015-06-01 ~ 2016-05-31 |
| Ketan K Badani Md | 161 Fort Washington Ave Fl 11fl, New York, NY 10032-3729 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
| John A Chabot | 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 | Controlled Substance Registration for Practitioner | 2019-01-18 ~ 2021-02-28 |
| Beth Schrope | 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 | Physician/surgeon | ~ |
| Jennifer H. Kuo | 161 Fort Washington Ave Fl 8, New York, NY 10032-3729 | Physician/surgeon | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca H C Yeh | 835 Riverside Drive, New York, NY 10032 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Olga M Brown | 621 W 169 Street, New York City, NY 10032 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| J Howard Williams | 835 Riverside Dr Apt #1-d, New York, NY 10032 | Landscape Architect | 2018-08-01 ~ 2019-07-31 |
| Andrea M Powell | 552 West 165th St., New York, NY 10032 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Mitchell S Elkind | 710 W. 168th Street, New York, NY 10032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Emily Chug | 100 Haven Ave, New York, NY 10032 | Physical Therapist | ~ |
| Rainer N Mittl | 635 West 165th Street, New York, NY 10032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Tristan Timothy Sands | 180 Fort Washington Ave, 5th Floor, New York, NY 10032 | Physician/surgeon | ~ |
| Thread Connects, Inc. · Thread | 611 W 163rd St, New York, NY 10032 | Public Charity | 2020-03-24 ~ 2020-11-30 |
| Mitchell Wade Dillon | 565 West 169th Street, New York, NY 10032 | Genetic Counselor | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10032 | |||
| City | NEW YORK |
| Zip Code | 10032 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Matthew J Dammeyer | Po Box 194, Benson, MN 56215-0194 | Physician/surgeon | ~ |
| Matthew Willett | 96 Mcintosh Dr, Portsmouth, RI 02871-1263 | Physician/surgeon | ~ |
| Matthew S Clark | Po Box 129, Montrose, NY 10548-0129 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Matthew Bushey Md | 1 Self Ct, Wallingford, CT 06492-2595 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Matthew A Fox | 22 Llanfair Rd, Ardmore, PA 19003-2320 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Matthew C Cauchon | 16 Lafountain Rd, Suffield, CT 06078 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Matthew P Griffin | 34 Hemlock Ter, Westfield, NJ 07081 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Matthew J Spates Md | 5 Scotland Rd, Norwich, CT 06360-2420 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Karla M Perrizo | 383 Matthew St, Prospect, CT 06712 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Matthew Joseph White | 307 S Evergreen Ave, Woodbury, NJ 08096-2739 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on MATTHEW D BACCHETTA.
| 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).