YELENA PRISTYAZHNYUK (Credential# 2035060) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is April 13, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
YELENA PRISTYAZHNYUK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0073632. The credential type is controlled substance registration for practitioner. The effective date is April 13, 2020. The expiration date is February 28, 2021. The business address is 460 Old Town Rd Apt 19g, Port Jefferson Station, NY 11776-2248. The current status is active.
| Licensee Name | YELENA PRISTYAZHNYUK |
| Credential ID | 2035060 |
| Credential Number | CSP.0073632 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
460 Old Town Rd Apt 19g Port Jefferson Station NY 11776-2248 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-04-13 |
| Effective Date | 2020-04-13 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-04-15 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2012908 | 1.065171-DO | Physician/Surgeon | 2020-04-07 | 2020-04-07 - 2020-12-31 | ACTIVE |
| Street Address | 460 OLD TOWN RD APT 19G |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-2248 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Joanne Louise Downing | 7 Cully Street, Port Jefferson Station, NY 11776 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
| Beth Anne Travis | 307 Woodhull Ave, Port Jefferson Station, NY 11776 | Registered Nurse - Temporary | 2020-04-22 ~ 2020-08-20 |
| Kelly Ann Kosciuk | 5 Hancock Street, Port Jefferson Station, NY 11776 | Registered Nurse | 2020-03-06 ~ 2021-02-28 |
| Praimchand Nardeo | 15a East Grove Street, Port Jefferson Station, NY 11776 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Paul Lappano | 45 Bedford Ave, Port Jefferson Station, NY 11776 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Stewart D Charaton | 3 Exeter Drive, Port Jefferson Station, NY 11776 | Notary Public Appointment | 2005-12-28 ~ 2010-12-31 |
| Jeffrey Lee Vacirca | 1500 Route 112 Building 4, Port Jefferson Station, NY 11776 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Kristen Youngberg | 1 Evelyn Rd, Port Jeff Sta, NY 11776 | Massage Therapist | 2018-09-19 ~ 2020-09-30 |
| Paul Alan Werfel | 36 Sahenandoah Avlvd, Port Jefferson Station, NY 11776 | Emergency Medical Technician | ~ |
| Clark S Homan | 2 Pagnotta Drive, Port Jefferson, NY 11776 | Physician/surgeon | 2007-09-24 ~ 2008-10-31 |
| Find all Licenses in zip 11776 | |||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + PORT JEFFERSON STATION |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yelena Popkova Dds | 151 River Rd, Cos Cob, CT 06807-2560 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Yelena A Atlanova | 161 2b Loomis Dr, West Hartford, CT 06107 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Yelena Khrapko Dds | 12 Iroquois St, Staten Island, NY 10305 | Controlled Substance Registration for Practitioner | 2012-02-10 ~ 2013-02-28 |
| Yelena N Titko Md | 33 Temple Court, New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yelena Potylitsina Md | 45 Coolidge Ave, Roslyn Heights, NY 11577 | Controlled Substance Registration for Practitioner | 2007-02-07 ~ 2008-02-28 |
| Yelena Sirbiladze | 201 Chestnut Hill Rd., Stafford Springs, CT 06076 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Yelena Taran Dds | 5065 Main St Unit 1118, Trumbull, CT 06611-4204 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
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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).