DEREK BIEDERMAN (Credential# 1490594) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 10, 2017. The license expiration date date is June 30, 2019. The license status is INACTIVE.
DEREK BIEDERMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058696-RES. The credential type is resident physician. The effective date is July 10, 2017. The expiration date is June 30, 2019. The business address is 1245 Park Ave Apt 6h, New York, NY 10128-1737. The current status is inactive.
| Licensee Name | DEREK BIEDERMAN |
| Credential ID | 1490594 |
| Credential Number | 1.058696-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
1245 Park Ave Apt 6h New York NY 10128-1737 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2017-07-10 |
| Effective Date | 2017-07-10 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1421027 | CSP.0065287 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-08-22 | 2017-08-22 - 2019-02-28 | LAPSED |
| Street Address | 1245 PARK AVE APT 6H |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128-1737 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kevin D Plancher Md | 1160 Park Avenue, New York, NY 10128 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| David Vlahov | 250 E 87th St. Apt 25aj, New York, NY 10128 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Richard Lewis Kadin | 47 E. 87th Street, New York, NY 10128 | Architect | 2018-08-01 ~ 2019-07-31 |
| Wesbuilt Construction Managers LLC | 145 E 94th Street, New York, NY 10128 | Major Contractor | 2018-07-01 ~ 2019-06-30 |
| Gain G Lu | 110 East 87th Street, 3e, New York, NY 10128 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Mitzi H Liotta | 45 East 89th St, New York, NY 10128 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
| Carla Gergi Sawan | Apartment 5g, New York, NY 10128 | Physician/surgeon | ~ |
| Tyler S Lucas Md | 1349 Lexington Avenue #4d, New York, NY 10128 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Peter S Rattner | 50 East 89th St, New York, NY 10128 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer Sarah Millman | 108 E 96th St, New York, NY 10128 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10128 | |||
| City | NEW YORK |
| Zip Code | 10128 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW YORK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Derek M Biederman Md | 2800 Main Street, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Derek Lee | 90 S Main St, Middletown, CT 06457-3649 | Resident Physician | 2018-06-25 ~ 2022-07-03 |
| Derek O Udeh | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Derek Scherbel | 20 York St, New Haven, CT 06510 | Resident Physician | 2020-06-24 ~ 2021-06-30 |
| Derek Poulin | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Derek J Tow | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Dentist | 2019-07-01 ~ 2025-06-30 |
| Ronald R Biederman | 75 Bainton Rd, W Hartford, CT 06117 | Professional Engineer | 2009-02-01 ~ 2013-01-31 |
| Phyllis S Biederman | 9 Foxtail Road, Middletown, CT 06457-1770 | Dietitian/nutritionist | 2019-07-01 ~ 2020-06-30 |
| Jo-ann Z Biederman | 25 Fredric Rd, Vernon, CT 06066 | Notary Public Appointment | 1992-11-01 ~ 1997-10-31 |
| Brent R Biederman | 21 Harvest Ln, West Hartford, CT 06117-3025 | Engineer-in-training | 2011-02-15 ~ 2021-02-15 |
Please comment or provide details below to improve the information on DEREK BIEDERMAN.
| 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).