ELYANA MATAYEVA (Credential# 1635949) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
ELYANA MATAYEVA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063956. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 8344 Lefferts Boulevard, Apt 4f, Kew Gardens, Jamaica, NY 11415. The current status is active.
| Licensee Name | ELYANA MATAYEVA |
| Credential ID | 1635949 |
| Credential Number | 1.063956 |
| Credential Type | Physician/Surgeon |
| Business Address |
8344 Lefferts Boulevard, Apt 4f, Kew Gardens Jamaica NY 11415 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-15 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1635532 | CSP.0070368 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-19 | 2019-06-19 - 2021-02-28 | ACTIVE |
| 1632585 | 1.062364-RES | Resident Physician | 2019-07-01 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 8344 lefferts boulevard, Apt 4f, Kew Gardens |
| City | Jamaica |
| State | NY |
| Zip Code | 11415 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| United Spinal Association Inc | 120 34 Queens Blvd 320, Kew Gardens, NY 11415 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Steve V Yunatanov | 83-83 118th Street, Kew Gardens, NY 11415 | Dentist | 2020-05-01 ~ 2021-04-30 |
| Krysia Bibro | 80-15 Grenfell St Apt D5, Kew Gardens, NY 11415 | Massage Therapist | 2020-01-01 ~ 2021-12-31 |
| Ricardo M Rechtman | 8402 Lefferts Blvd, Kew Gardens, NY 11415 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Thomas M Matzerath | 118-11 84th Avenue, Kew Gardens, NY 11415 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Alfred H Brand | 80-67 Grenfell St, Kew Gardens, NY 11415 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Carolina Betancourt | 84-03 Cutberth Rd Apt 3b, Kew Gardens, NY 11415 | Registered Nurse | 2018-09-01 ~ 2019-08-31 |
| Sally J Berry | 118-65 Metropolitan Ave, Queens, NY 11415 | Licensed Practical Nurse | 2019-05-01 ~ 2020-04-30 |
| Huijie Zhang | 83-52 Talbot Street, Apt.2a, Kew Gardens, NY 11415 | Massage Therapist | 2019-02-01 ~ 2021-01-31 |
| Baker Boy | 127-25 Metropolitan Avenue, Kew Gardens, NY 11415 | Bakery | 1999-07-13 ~ 1996-06-30 |
| Find all Licenses in zip 11415 | |||
| City | Jamaica |
| Zip Code | 11415 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Jamaica |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Please comment or provide details below to improve the information on ELYANA MATAYEVA.
| 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).