VIVIAN FAYWEN TOM
Physician/surgeon


Address: 524 Broadway, 11th Floor, New York, NY 10012

VIVIAN FAYWEN TOM (Credential# 1645552) 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.

Business Overview

VIVIAN FAYWEN TOM is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063936. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 524 Broadway, 11th Floor, New York, NY 10012. The current status is active.

Basic Information

Licensee Name VIVIAN FAYWEN TOM
Credential ID 1645552
Credential Number 1.063936
Credential Type Physician/Surgeon
Business Address 524 Broadway, 11th Floor
New York
NY 10012
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-07-13
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-01-14

Office Location

Street Address 524 Broadway, 11th Floor
City New York
State NY
Zip Code 10012

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Daniel Robert Alzheimer 524 Broadway, 11th Floor, New York, NY 10012 Physician/surgeon 2020-01-09 ~ 2021-01-31
Charles Louis Mccall 524 Broadway, 11th Floor, New York, NY 10012 Physician/surgeon 2019-12-12 ~ 2020-12-31
Faiz Dhia Francis 524 Broadway, 11th Floor, New York, NY 10012 Physician/surgeon 2020-01-01 ~ 2020-12-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Christine Alice Kerr 319 Lafayette St., New York, NY 10012 Physician/surgeon 2020-08-01 ~ 2021-07-31
Toshiko Mori 199 Lafayette St. Suite 5a, New York, NY 10012 Architect 2020-08-01 ~ 2021-07-31
Jrsk, Inc. 503 Broadway, Fl3, New York, NY 10012 Securities - Exemptions 2020-06-10 ~
Donald R Blair · Donald Blair Aia Architect 55 Prince St, New York, NY 10012 Architect 2020-08-01 ~ 2021-07-31
Mitchell Kurtz 611 Broadway Ste 526, New York, NY 10012 Architect 2020-08-01 ~ 2021-07-31
John R Wettling 270 Lafayette St Suite #400, New York, NY 10012 Architect 2020-08-01 ~ 2021-07-31
John A Symecko 155 Bleecker Street, New York, NY 10012 Dentist 2005-08-08 ~ 2006-03-31
Lead Edge Parters Opportunity Xxvii, Lp 96 Spring St, Fl 5, New York, NY 10012 Securities - Exemptions 2020-06-08 ~
Native Data, Inc. 524 Broadway, New York, NY 10012 Securities - Exemptions 2020-05-15 ~
Rse Markets. Inc. 250 Lafayette St, Fl 3, New York, NY 10012 Securities - Exemptions 2020-04-30 ~
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Competitor

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City New York
Zip Code 10012
License Type Physician/Surgeon
License Type + County Physician/Surgeon + New York

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Dataset Information

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).

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