NEESHA BASTIEN (Credential# 1416817) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
NEESHA BASTIEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003844. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 361d Skyline Dr, Staten Island, NY 10304-4609. The current status is active.
| Licensee Name | NEESHA BASTIEN |
| Credential ID | 1416817 |
| Credential Number | 23.003844 |
| Credential Type | Physician Assistant |
| Business Address |
361d Skyline Dr Staten Island NY 10304-4609 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-14 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1469964 | CSP.0067306 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-01-09 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 361D SKYLINE DR |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-4609 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ashley Benvenuto | 36 Wilson Street, Staten Island, NY 10304 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Joseph J Ruggiero | 60 Duncan St, Staten Isld, NY 10304 | Professional Engineer | 2014-02-01 ~ 2015-01-31 |
| Sarah Klobocista | 21 Vista Ave, Staten Island, NY 10304 | Physician Assistant | 2018-11-01 ~ 2019-10-31 |
| Boundless Impact Group LLC | 25 Copperleaf Terrace, Staten Island, NY 10304 | Paid Solicitor | 2019-08-13 ~ 2020-08-12 |
| Richard J Trieste | 48 Duncan St, Staten Island, NY 10304 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Advanced Technology Select Fund Viii, LLC | 163 Coventry Road, Staten Island, NY 10304 | Securities - Exemptions | 2019-11-12 ~ |
| Sabrina J Lauriston | 32 Delaware Street, Staten Island, NY 10304 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| John B Dimaano | 800 Elbe Ave, Staten Island, NY 10304 | Registered Nurse | 2019-04-01 ~ 2020-03-31 |
| Nadezda A Tretyakova | 54 Sunrise Terrace, Staten Island, NY 10304 | Physician/surgeon | 2017-11-01 ~ 2018-10-31 |
| Bruce Sosler | 27 Gateway Drive, Staten Island, NY 10304 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
| Find all Licenses in zip 10304 | |||
| City | STATEN ISLAND |
| Zip Code | 10304 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + STATEN ISLAND |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dorothy A Bastien · Bastien's Painting | 147 Main St, Baltic, CT 06330 | Home Improvement Contractor | 2006-12-01 ~ 2007-11-30 |
| Bastien Builders LLC | 21 Irene Ave, Waterbury, CT 06705 | New Home Construction Contractor | 2007-10-16 ~ 2009-09-30 |
| Steven Bastien · Bastien and Sons Home Improvement | 28 Russell St, Jewett City, CT 06351-1906 | Home Improvement Contractor | 2020-01-19 ~ 2020-11-30 |
| Neesha Taryn Lhila | 106 Brentwood Dr, Glastonbury, CT 06033-2855 | Registered Nurse | ~ |
| Neesha Jhaveri | 26 Penny Lane, Scarsdale, NY 10583 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Neesha I M Melendez | 16 Wilmot Rd, Hamden, CT 06514-4311 | Emergency Medical Responder | 2018-01-12 ~ 2020-10-01 |
| Neesha Ramchandani | 15 Pine Ridge Rd., Wilton, CT 06897 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Neesha R Rudder | 2057 Registry Place, Hampton, GA 30228 | Hairdresser/cosmetician | 2003-05-27 ~ 2004-05-31 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Please comment or provide details below to improve the information on NEESHA BASTIEN.
| 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).