MICHAEL S DISIENA (Credential# 1488434) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2015. The license expiration date date is June 30, 2021. The license status is ACTIVE.
MICHAEL S DISIENA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057829-RES. The credential type is resident physician. The effective date is June 28, 2015. The expiration date is June 30, 2021. The business address is 125 Primrose Dr, Somers, NY 10589-2810. The current status is active.
| Licensee Name | MICHAEL S DISIENA |
| Credential ID | 1488434 |
| Credential Number | 1.057829-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
125 Primrose Dr Somers NY 10589-2810 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2015-06-28 |
| Effective Date | 2015-06-28 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2018-05-07 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1281658 | CSP.0059980 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-05-11 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 125 PRIMROSE DR |
| City | SOMERS |
| State | NY |
| Zip Code | 10589-2810 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alea Vorillas | 249 Us Route 202 3 Heritage 202 Center, Somers, NY 10589 | Real Estate Salesperson | 2020-06-08 ~ 2021-05-31 |
| Frank John Tomasulo | 230b Heritage Hills Drive, Somers, NY 10589 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Paul C Nowak Md | 12 Susan Dr, Somers, NY 10589 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Sheila Finn | 562c Heritage Hills, Somers, NY 10589 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Nancy L Carpenter | 827a Heritage Hills, Somers, NY 10589 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Daniel Gifeisman | 6 Annarock Dr, Somers, NY 10589 | Chiropractor | 2020-06-01 ~ 2021-05-31 |
| Paula A Sanchez | 56 Deans Bridge Road, Somers, NY 10589 | Notary Public Appointment | 2020-05-12 ~ 2025-05-31 |
| Angela M Capossela | 133d Heritage Hills Dr., Somers, NY 10589 | Perfusionist | 2020-03-01 ~ 2021-02-28 |
| Richard J Lampert | 231 Heritage Hills Drive, Somers, NY 10589 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Christina M Rosado | 18 Palma Rd., Somers, NY 10589 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 10589 | |||
| City | SOMERS |
| Zip Code | 10589 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + SOMERS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Michael Kuo | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Michael Nowicki | 155 Joy Rd, Waterbury, CT 06708-2464 | Resident Physician | 2013-06-28 ~ 2019-06-27 |
| Michael E. Gotlib | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2013-07-01 ~ 2018-06-30 |
| Michael A Hajek | 256 Edwards St, New Haven, CT 06511 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Rubin | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-08-01 ~ 2021-06-30 |
| Michael A Persaud | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael O'neill | 24 Hospital Ave, Danbury, CT 06810 | Resident Physician | 2017-06-22 ~ 2020-06-30 |
| Michael N Levitz | 71 Haynes St, Manchester, CT 06040-4131 | Resident Physician | 2017-07-01 ~ 2020-10-29 |
| Michael T. Geraghty | 64 Robbins St, Waterbury, CT 06708-2613 | Resident Physician | 2019-06-28 ~ 2024-06-27 |
| Michael Hanwei He | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-15 ~ 2021-06-30 |
Please comment or provide details below to improve the information on MICHAEL S DISIENA.
| 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).