BEZALEL DANTZ MD
Controlled Substance Registration for Practitioner


Address: 1320 York Avenue, New York, NY 10021

BEZALEL DANTZ MD (Credential# 194200) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is February 29, 2000. The license expiration date date is February 28, 2001. The license status is INACTIVE.

Business Overview

BEZALEL DANTZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0026716. The credential type is controlled substance registration for practitioner. The effective date is February 29, 2000. The expiration date is February 28, 2001. The business address is 1320 York Avenue, New York, NY 10021. The current status is inactive.

Basic Information

Licensee Name BEZALEL DANTZ MD
Credential ID 194200
Credential Number CSP.0026716
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 1320 York Avenue
New York
NY 10021
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 2000-02-29
Expiration Date 2001-02-28
Refresh Date 2009-01-26

Other licenses

ID Credential Code Credential Type Issue Term Status
554304 1.036713 Physician/Surgeon 1998-03-20 1999-01-15 - 2000-03-31 INACTIVE

Office Location

Street Address 1320 YORK AVENUE
City NEW YORK
State NY
Zip Code 10021

Licenses in the same location

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Joshua Marcus 1320 York Avenue, New York, NY 10021 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Alexandros D Polydorides 1320 York Avenue, New York, NY 10021-4875 Physician/surgeon 2006-02-01 ~ 2007-02-28
Aileeen Goldstein 1320 York Avenue, New York, NY 10021 Registered Nurse 2001-05-02 ~ 2002-04-30
Lisa Berman 1320 York Avenue, New York, NY 10021 Controlled Substance Registration for Practitioner 2001-02-15 ~ 2002-02-28
Allyson Z Pifko 1320 York Avenue, New York, NY 10021 Registered Nurse 1995-11-29 ~ 1997-01-31

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City NEW YORK
Zip Code 10021
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + 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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