NEETU KRISHNAN (Credential# 1488605) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2016. The license expiration date date is June 30, 2022. The license status is ACTIVE.
NEETU KRISHNAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058000-RES. The credential type is resident physician. The effective date is June 28, 2016. The expiration date is June 30, 2022. The business address is 139 Hunnewell Ave, Elmont, NY 11003-2709. The current status is active.
Licensee Name | NEETU KRISHNAN |
Credential ID | 1488605 |
Credential Number | 1.058000-RES |
Credential Type | Resident Physician |
Credential SubCategory | RES |
Business Address |
139 Hunnewell Ave Elmont NY 11003-2709 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-06-28 |
Effective Date | 2016-06-28 |
Expiration Date | 2022-06-30 |
Refresh Date | 2019-04-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1352222 | CSP.0062604 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-07-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
1672125 | 1.064134 | Physician/Surgeon | 2019-08-21 | 2019-08-21 - 2020-04-30 | ACTIVE |
Street Address | 139 HUNNEWELL AVE |
City | ELMONT |
State | NY |
Zip Code | 11003-2709 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Martine Carol Boisrond | 1551 Lydia Avenue, Elmont, NY 11003 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Elizabeth T Thomas | 135 Diamond Street, Elmont, NY 11003 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Hardial Ramotar | 758 N. Ascan Street, Elmont, NY 11003 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Joan Beverley Barr | 782 Caroline Avenue, Elmont, NY 11003 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
Claudette Patricia Hall | 75 Heathcote Rd, Elmont, NY 11003 | Master's Level Social Worker | 2020-01-01 ~ 2020-12-31 |
Leroy G Brown | 77 Hathaway Ave, Elmont, NY 11003 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Charles Enoma | 2195 Hoffman Avenue, Elmont, NY 11003 | Master's Level Social Worker | 2018-10-01 ~ 2019-09-30 |
Thomas J Cusack | Ten John Avenue, Elmont, NY 11003 | Notary Public Appointment | 1997-01-10 ~ 2002-01-31 |
Rose Mai J. Pierre-louis Michel | 164 Locustwood Blvd, Elmont, NY 11003 | Master's Level Social Worker | 2019-08-01 ~ 2020-07-31 |
Agena F Mondelice | 1505 Adele Ct, Elmont, NY 11003 | Registered Nurse | 2018-05-01 ~ 2019-04-30 |
Find all Licenses in zip 11003 |
City | ELMONT |
Zip Code | 11003 |
License Type | Resident Physician |
License Type + County | Resident Physician + ELMONT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ramya Krishnan | 900 Chapel St Apt 230, New Haven, CT 06510-2820 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
Swathi Krishnan | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
Neetu Nebhwani Md | 67 Maple Ave, Derby, CT 06418-1328 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Neetu Godhwani | 864 Silver Lake Scotchtown Rd, Middletown, NY 10941-1119 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Yamini A Krishnan | 486 Durham Rd, Guilford, CT 06437-2059 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Sankaran S Krishnan | 29 Nassau Road #1, Yonkers, NY 10710 | Physician/surgeon | 1997-06-04 ~ 1998-05-31 |
Usha S Krishnan | 29 Nassau Road #1, Yonkers, NY 10710 | Physician/surgeon | ~ 1996-09-30 |
Sunithi Krishnan | 11 Benedict Ave., Staten Island, NY 10314 | Physician/surgeon | 2009-01-12 ~ 2010-01-31 |
Arun Krishnan | 12 Wild Rose Dr, Nashua, NH 03063-2826 | Physician/surgeon | 2015-12-01 ~ 2016-11-30 |
Meghna Krishnan Md | 2519 Feather Run Trl, Cedar Falls, IA 50613-4959 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).