ALEXANDRA TAYLOR MARTIN (Credential# 1663327) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is July 26, 2019. The license expiration date date is April 30, 2020. The license status is ACTIVE.
ALEXANDRA TAYLOR MARTIN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004536. The credential type is physician assistant. The effective date is July 26, 2019. The expiration date is April 30, 2020. The business address is 661 King Ave, Bronx, NY 10464-1114. The current status is active.
| Licensee Name | ALEXANDRA TAYLOR MARTIN |
| Credential ID | 1663327 |
| Credential Number | 23.004536 |
| Credential Type | Physician Assistant |
| Business Address |
661 King Ave Bronx NY 10464-1114 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-26 |
| Effective Date | 2019-07-26 |
| Expiration Date | 2020-04-30 |
| Refresh Date | 2019-07-26 |
| Street Address | 661 KING AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10464-1114 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jessica Rodriguez | 2065 Grand Concourse, Bronx, NY 10464 | Registered Nurse | ~ |
| Brandy M Chasse | 334 King Avenue, Bronx, NY 10464 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Nicholas F Garzillo | 170 Tier St, Bronx, NY 10464 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Stephanie S Santana | 185 Cross Street, Bronx, NY 10464 | Notary Public Appointment | 2017-09-20 ~ 2022-09-30 |
| Rose M Rodstrom | 111 Rochelle Street, Bronx, NY 10464 | Notary Public Appointment | 2018-01-01 ~ 2022-12-31 |
| Judith D Kupferschmid | 68 Island Point, Bronx, NY 10464 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Miles Mahony | 17 Windward Ln, Bronx, NY 10464 | Real Estate Broker | 2018-04-01 ~ 2019-03-31 |
| James Mcgaughan | 306 William Avenue, Bronx, NY 10464 | Physician Assistant | 2017-10-01 ~ 2018-09-30 |
| Ronald A Kross | 1 Rochelle St, Bronx, NY 10464 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Gioiello Construction LLC | 226 Bowne St, City Island, NY 10464 | Home Improvement Contractor | 2007-12-03 ~ 2008-11-30 |
| Find all Licenses in zip 10464 | |||
| City | BRONX |
| Zip Code | 10464 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + BRONX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexandra Archer Pa-c | 4 Fuller Ave, Ardsley, NY 10502-2110 | Physician Assistant | 2019-06-01 ~ 2020-05-31 |
| Alexandra C Kayat Pa-c | 709 Brookside Ct, Manchester, CT 06042-7116 | Physician Assistant | 2012-05-01 ~ 2013-04-30 |
| Alexandra P Pavain | 24 Hospital Ave, Danbury, CT 06810-6099 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Morgan Alexandra Tate | 245 5th Ave, New York, NY 10016 | Physician Assistant | 2020-04-23 ~ 2020-10-31 |
| Alexandra M Bachyrycz | 300 Columbus Ave Apt 3t, Tuckahoe, NY 10707-2558 | Physician Assistant | 2018-05-01 ~ 2019-04-30 |
| Alexandra Lauren Sirrine | 2 Trail Run, Vernon, CT 06066 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Brittany Alexandra Ramos | 119 Simpkins Dr, Bristol, CT 06010-9011 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Taylor Merrick | 154 Conklin Rd, Stafford Springs, CT 06076-4207 | Physician Assistant | ~ |
| Rachael E Taylor | 8107 Goodfellow Ln, Mechanicsville, VA 23111-4680 | Physician Assistant | 2013-02-01 ~ 2014-01-31 |
| Taylor Bartini Kelley | 35 Jolley Dr Ste 301, Bloomfield, CT 06002-4228 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
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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).