JOSEPH EARLY
Physician Assistant


Address: 559 Nugent Avenue, Staten Island, NY 10305

JOSEPH EARLY (Credential# 1675199) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is October 11, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.

Business Overview

JOSEPH EARLY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004644. The credential type is physician assistant. The effective date is October 11, 2019. The expiration date is October 31, 2020. The business address is 559 Nugent Avenue, Staten Island, NY 10305. The current status is active.

Basic Information

Licensee Name JOSEPH EARLY
Credential ID 1675199
Credential Number 23.004644
Credential Type Physician Assistant
Business Address 559 Nugent Avenue
Staten Island
NY 10305
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-10-11
Effective Date 2019-10-11
Expiration Date 2020-10-31
Refresh Date 2019-10-16

Office Location

Street Address 559 NUGENT AVENUE
City STATEN ISLAND
State NY
Zip Code 10305

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Sunila Mehrotra 390 Maryland Avenue, #3a, Staten Island, NY 10305 Physician/surgeon 1978-03-28 ~ 1982-10-31
Salah Eldin Mohamed 110 Belair Road, Staten Island, NY 10305 Physician/surgeon 2017-02-15 ~ 2017-10-31
Monika Peters 495 Clifton Ave, Staten Island, NY 10305 Registered Nurse - Temporary 2017-09-15 ~ 2018-01-12
Maria I Sola 43 Xenia Street, Staten Island, NY 10305 Master's Level Social Worker 2015-03-04 ~ 2016-03-31
Ronald S Lopes 36 Bella Vista Court, Staten Island, NY 10305 Home Inspector 2014-03-19 ~ 2015-06-30
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Competitor

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City STATEN ISLAND
Zip Code 10305
License Type Physician Assistant
License Type + County Physician Assistant + STATEN ISLAND

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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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