ROBERT FREDERICK MALACOFF
Physician/surgeon


Address: 91 Muirfield Road, Rockville Centre, NY 11570

ROBERT FREDERICK MALACOFF (Credential# 1986874) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 22, 1976. The license expiration date date is December 31, 1980. The license status is INACTIVE.

Business Overview

ROBERT FREDERICK MALACOFF is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.018278. The credential type is physician/surgeon. The effective date is October 22, 1976. The expiration date is December 31, 1980. The business address is 91 Muirfield Road, Rockville Centre, NY 11570. The current status is inactive.

Basic Information

Licensee Name ROBERT FREDERICK MALACOFF
Credential ID 1986874
Credential Number 1.018278
Credential Type Physician/Surgeon
Business Address 91 Muirfield Road
Rockville Centre
NY 11570
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1976-10-22
Effective Date 1976-10-22
Expiration Date 1980-12-31
Refresh Date 2019-11-26

Office Location

Street Address 91 MUIRFIELD ROAD
City ROCKVILLE CENTRE
State NY
Zip Code 11570

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John J. Ferro 229 Harvard Avenue, Rockville Centre, NY 11570 Certified Public Accountant Certificate 2020-01-01 ~ 2020-12-31
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City ROCKVILLE CENTRE
Zip Code 11570
License Type Physician/Surgeon
License Type + County Physician/Surgeon + ROCKVILLE CENTRE

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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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