ERICA DALE GOLDBERGER (Credential# 1377420) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
ERICA DALE GOLDBERGER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055997. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 18 Beaver Pond Rd, South Salem, NY 10590-2027. The current status is active.
Licensee Name | ERICA DALE GOLDBERGER |
Credential ID | 1377420 |
Credential Number | 1.055997 |
Credential Type | Physician/Surgeon |
Business Address |
18 Beaver Pond Rd South Salem NY 10590-2027 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-12-13 |
Effective Date | 2020-08-01 |
Expiration Date | 2021-07-31 |
Refresh Date | 2020-05-04 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1393873 | CSP.0064476 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-12-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 18 BEAVER POND RD |
City | SOUTH SALEM |
State | NY |
Zip Code | 10590-2027 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Debra Barbieri | 8 Beaver Pond Rd, South Salem, NY 10590-2027 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alice B Gottlieb | 51 Twin Lakes Rd, South Salem, NY 10590 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Lorraine M Gengo | 65 Grandview Road, South Salem, NY 10590 | Massage Therapist | 2020-06-01 ~ 2022-05-31 |
Jon C Jensen | 11 Elmwood Rd, South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Ann Marie Sementilli | 14 East Street, South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Louis M Galasso | 162 Journeys End Rd, South Salem, NY 10590 | Real Estate Salesperson | 2019-06-01 ~ 2020-05-31 |
Bozena Piechota | 4 Rainbow Hill Road, South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Jane H Wakeman | 457 Smith Ridge Rd., South Salem, NY 10590 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Mark A Caviola | 14 North Lake Circle, South Salem, NY 10590 | Sub-surface Sewage Installer | 2020-08-01 ~ 2021-07-31 |
Ann M Nolan | 171journey's End Road, South Salem, NY 10590 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
Denise T Mackin | 2 Country Lane, South Salem, NY 10590 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
Find all Licenses in zip 10590 |
City | SOUTH SALEM |
Zip Code | 10590 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + SOUTH SALEM |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Andreea Goldberger | 303 Parker St, Newton, MA 02459-2629 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Marcel Goldberger | Obstetrical & Gyn, Carmel, NY 10512 | Physician/surgeon | 2006-03-30 ~ 2007-02-28 |
Erica M Loutsch Md | 341 Valley Rd, Cos-cob, CT 06807 | Physician/surgeon | 2005-12-20 ~ 2007-01-31 |
Erica E Jost Md | 12 Roosevelt Ave, Mystic, CT 06335 | Physician/surgeon | 2005-11-01 ~ 2006-10-31 |
Erica J Kesselman Md | 73 Loyola Rd, Woodstock, CT 06281 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Erica S Hammer | 85 Jefferson Ave Ste 625, Hartford, CT 06102 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Erica J Martinucci Md | 347 Bethmour Rd, Bethany, CT 06524-3358 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Joseph P Noonan | 20 Erica Ln, Wolcott, CT 06716-1402 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Erica Brooke Smith | 211 S. Main St, Middletown, CT 06457 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Erica D Engelstein | 8681 Jaffa Ct. E. Dr, Indianapolis, IN 46260 | Physician/surgeon | 1995-07-26 ~ 1996-09-30 |
Please comment or provide details below to improve the information on ERICA DALE GOLDBERGER.
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).