NICHOLAS STROUMBAKIS (Credential# 1455636) is licensed (Physician Assistant) 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.
NICHOLAS STROUMBAKIS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004027. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 25 Mimosa Dr, Cos Cob, CT 06807-1402. The current status is active.
| Licensee Name | NICHOLAS STROUMBAKIS |
| Credential ID | 1455636 |
| Credential Number | 23.004027 |
| Credential Type | Physician Assistant |
| Business Address |
25 Mimosa Dr Cos Cob CT 06807-1402 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-02-06 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-27 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1471600 | CSP.0067358 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-02-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1184960 | 70.016748 | Emergency Medical Technician | 2013-09-23 | 2013-09-23 - 2016-06-30 | INACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas Stroumbakis | Greenwich Urol.assoc, Greenwich, CT 06830 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Nicholas Stroumbakis | Greenwich Urological Assoc, Greenwich, CT 06830 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Street Address | 25 MIMOSA DR |
| City | COS COB |
| State | CT |
| Zip Code | 06807-1402 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anthony C. Giannuzzi | 39 Mimosa Dr, Cos Cob, CT 06807-1402 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Alexander R Sachs | 43 Mimosa Dr, Cos Cob, CT 06807-1402 | Emergency Medical Technician | 2018-03-09 ~ 2021-07-01 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Song Ie Lee | 2 Relay Pl, Cos Cob, CT 06807 | Esthetician | ~ |
| Judith G Rein | 444 Cognewaugh Road, Cos Cob, CT 06807 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Beacon Point Marine | 49 River Rd, Cos Cob, CT 06807 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Liliane Henry | 70 Cos Cob Street Apt 2, Greenwich, CT 06807 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Mary Jo L Whelan | 22 Barton Lane, Cos Cob, CT 06807 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Frank A Cantavero | 90 Valley Road, Cos Cob, CT 06807 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Dominick J Mancuso | 20 Robertson Lane, Cos Cob, CT 06807 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Kathleen M Fillion | 34 1/2 River Rd, Cos Cob, CT 06807 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-13 ~ 2021-09-30 |
| Margaret A Phillips | 2 Waterfall Lane, Cos Cob, CT 06807 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Joyce Somm | 12 River Lane, Cos Cob, CT 06807 | Real Estate Salesperson | 2020-06-05 ~ 2021-05-31 |
| Find all Licenses in zip 06807 | |||
| City | COS COB |
| Zip Code | 06807 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + COS COB |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicholas Estis | 44 Foltim Way, Congers, NY 10920 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
| Nicholas W Chasse | 48 Brindlewood Path, Colchester, CT 06415-2147 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Nicholas A Salvador | 435 Lewis Avenue, Meriden, CT 06451 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Nicholas J Charboneau | 12 Buckthorn Ln, North Attleboro, MA 02760-4760 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Nicholas S. Haskell | 65 Iroquois Rd, West Hartford, CT 06117-2112 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Nicholas James Zielinski | 231 S Belvior Blvd, South Euclid, OH 44121 | Physician Assistant | ~ |
| Nicholas Clay Vance | 190 Broad Hollow Rd, Pecks Mill, WV 25547 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| 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 |
| Theresa V Horvath | Physiican Assistant Institute, Bridgeport, CT 06604 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
| Nicholas Rotolo | 52 Lane St, Shelton, CT 06484-5223 | Physical Therapist Assistant | 2018-08-01 ~ 2019-07-31 |
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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).