CHRYSTYNA STASYSHYN
Physician Assistant


Address: 61-69 69th Place, Middle Village, NY 11379

CHRYSTYNA STASYSHYN (Credential# 1380688) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 18, 2017. The license expiration date date is December 31, 2018. The license status is INACTIVE.

Business Overview

CHRYSTYNA STASYSHYN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003834. The credential type is physician assistant. The effective date is May 18, 2017. The expiration date is December 31, 2018. The business address is 61-69 69th Place, Middle Village, NY 11379. The current status is inactive.

Basic Information

Licensee Name CHRYSTYNA STASYSHYN
Credential ID 1380688
Credential Number 23.003834
Credential Type Physician Assistant
Business Address 61-69 69th Place
Middle Village
NY 11379
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2017-05-18
Effective Date 2017-05-18
Expiration Date 2018-12-31
Refresh Date 2019-04-05

Office Location

Street Address 61-69 69th Place
City Middle Village
State NY
Zip Code 11379

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James V Burns 6317 77th St, Middle Village, NY 11379 Tax Preparer/facilitator Permit 2020-03-21 ~ 2022-03-31
Haslan Muratovic 61-55 76th St, Middle Village, NY 11379 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
Alice Sze-man Tsao 65-16 77th Street, Middle Village, NY 11379 Pharmacist 2020-02-01 ~ 2022-01-31
Michael Piecora 61-51 70th Street, Middlevillage, NY 11379 Notary Public Appointment 2008-09-15 ~ 2013-09-30
1723 Harman Street LLC 62-64 82st, Middle Village, NY 11379 Home Improvement Contractor 2019-10-17 ~ 2020-11-30
Robert J Firneis 61-67 77th St, Middle Village, NY 11379 Architect 2019-08-01 ~ 2020-07-31
Lyudmila Savelyeva 62-25 84 Street, Apt. C60, Middle Village, NY 11379 Registered Nurse 2019-10-01 ~ 2020-09-30
Emily J Garber 57-75 75th Street, Middle Village, NY 11379 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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Competitor

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City Middle Village
Zip Code 11379
License Type Physician Assistant
License Type + County Physician Assistant + Middle Village

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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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