MARIELLA KATHERINE CASTRO (Credential# 1992276) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MARIELLA KATHERINE CASTRO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004725. The credential type is physician assistant. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 245 5th Ave, New York, NY 10016. The current status is active.
| Licensee Name | MARIELLA KATHERINE CASTRO |
| Credential ID | 1992276 |
| Credential Number | 23.004725 |
| Credential Type | Physician Assistant |
| Business Address |
245 5th Ave New York NY 10016 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-01-28 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-29 |
| Street Address | 245 5th Ave |
| City | New York |
| State | NY |
| Zip Code | 10016 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shane Oliver Jordan | 245 5th Ave, New York, NY 10016 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Annelie Christina Roding | 245 5th Ave, New York, NY 10016 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Stephanie Nicole Gregory | 245 5th Ave, New York, NY 10016 | Advanced Practice Registered Nurse | 2020-05-27 ~ 2020-12-31 |
| Brett Leslie Deutscher | 245 5th Ave, New York, NY 10016 | Registered Nurse | 2020-03-31 ~ 2020-12-31 |
| Morgan Alexandra Tate | 245 5th Ave, New York, NY 10016 | Physician Assistant | 2020-04-23 ~ 2020-10-31 |
| Anna Kuzmenko | 245 5th Ave, New York, NY 10016 | Professional Counselor | 2020-02-28 ~ 2020-10-31 |
| Brendan James Sullivan | 245 5th Ave, New York, NY 10016 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Tara Michelle Laforge | 245 5th Ave, New York, NY 10016 | Physician Assistant | ~ |
| Ashley Lauren Pearson | 245 5th Ave, New York, NY 10016 | Professional Counselor | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Terri Michelle Parkin | 245 5th Avenue, New York, NY 10016 | Registered Nurse | ~ |
| Robert A Stern | One Park Avenue, New York, NY 10016 | Architect | 2020-08-01 ~ 2021-07-31 |
| Gerard Epelbaum Dds | 30 East 40th St #906, New York, NY 10016 | Dentist | 2020-04-01 ~ 2021-03-31 |
| Action Without Borders, Inc | 389 Fifth Avenue, 9th Floor, New York, NY 10016 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| A James Tinson | 10 E 40th Street, New York, NY 10016 | Architect | 2020-08-01 ~ 2021-07-31 |
| Melinda J Parsons | 11 East 36th Street, New York, NY 10016 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Daniel Gorman | 145 E 27th Street, New York, NY 10016 | Master's Level Social Worker - Temporary Permit | 2020-06-16 ~ 2020-09-13 |
| Steven Issley | 545 First Avenue, Suite 6g, New York, NY 10016 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jennifer Stewart Brinton | 155 E 38th St, New York, NY 10016 | Registered Nurse | ~ |
| Steven Andrew Roberts | 300 East 33rd Street, New York, NY 10016 | Architect | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 10016 | |||
| City | New York |
| Zip Code | 10016 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + New York |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mariella Larosa · Hillburn | 80 Suffield Court, Cheshire, CT 06410 | Physician Assistant | 2015-01-01 ~ 2015-12-31 |
| Joseph R Castro | 7 Hillcrest Drive, Old Saybrook, CT 06475 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| L. Katherine Grasso | Po Box 191, Sudbury, MA 01776-0191 | Physician Assistant | ~ |
| Katherine E Voss | 93 Kenneth Dr, Vernon, CT 06066 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Katherine S O'connor | 131 Redlands St, Springfield, MA 01104-2911 | Physician Assistant | 2012-11-21 ~ 2013-11-30 |
| Katherine Mary White | 245 5th Ave Floor 3, New York, NY 10016 | Physician Assistant | ~ |
| Katherine Chase | 11 Merwin Street, Norwalk, CT 06850 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Katherine Landry Gaston | 152 Montowese Street, Branford, CT 06405 | Physician Assistant | ~ |
| Katherine L Boxberger Pa | 12 Monitor Hill Rd, Newtown, CT 06470-2243 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Katherine E Beam | 3310 34th Ave Apt B1, Astoria, NY 11106-1812 | Physician Assistant | 2017-02-01 ~ 2018-01-31 |
Please comment or provide details below to improve the information on MARIELLA KATHERINE CASTRO.
| 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).