NIRALI BUTALA (Credential# 2052161) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
NIRALI BUTALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065918-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 23 Shepherd Ln, Roslyn Heights, NY 11577-2506. The current status is active.
| Licensee Name | NIRALI BUTALA |
| Credential ID | 2052161 |
| Credential Number | 1.065918-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
23 Shepherd Ln Roslyn Heights NY 11577-2506 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1658213 | CSP.0071058 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-05 | 2019-06-05 - 2021-02-28 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nirali Butala | 20 York Street, New Haven, CT 06510 | Resident Physician | 2019-06-12 ~ 2020-06-30 |
| Street Address | 23 SHEPHERD LN |
| City | ROSLYN HEIGHTS |
| State | NY |
| Zip Code | 11577-2506 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven L Malawer | 14 Browers Lane, Roslyn Heights, NY 11577 | Audiologist | 2020-06-01 ~ 2021-05-31 |
| Karen A Rummel Do | 16 Schoolhouse Lane, Roslyn Heights, NY 11577 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Oosman Tariq | 5 West Wood Circle, East Hills, NY 11577 | Physician/surgeon | 2020-02-25 ~ 2020-12-31 |
| James Greebel | 16 Thelma Street, Roslyn Heights, NY 11577 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Jeffrey Han | 122 Schoolhouse Ln, Roslyn Heights, NY 11577 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Hai-trieu Joseph L Pham | 48 Parkway Drive, Roslyn Heights, NY 11577 | Emergency Medical Technician | ~ |
| Alexander Arnowitz | 16 Laurel Lane, Roslyn Heights, NY 11577 | Notary Public Appointment | 2017-03-22 ~ 2022-03-31 |
| Ann Chu | 137 The Crescent, Roslyn Heights, NY 11577 | Notary Public Appointment | 2012-09-01 ~ 2017-08-31 |
| Surendra K Bhalla | 53 Pine Tree Lane, Roslyn Heights, NY 11577 | Professional Engineer | 1997-08-19 ~ 1998-01-31 |
| Kenneth F Standig | 264 Hillturn Lane, Roslyn Heights, NY 11577 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Find all Licenses in zip 11577 | |||
| City | ROSLYN HEIGHTS |
| Zip Code | 11577 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + ROSLYN HEIGHTS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nirali Patel | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-06-28 ~ 2023-06-30 |
| Steve Butala | 100 Grand Street, New Britain, CT 06052 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Edge Hill Napa Valley Zinfandel Butala Vineyard | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2004-05-13 ~ 2007-05-12 |
| Mary Okeefe-butala | P O Box 382, Trumbull, CT 06611 | Registered Nurse | 2004-02-06 ~ 2004-11-30 |
| Noreen Butala | 83 Riding Ridge Rd, Monroe, CT 06468-4201 | Registered Nurse | 2020-06-15 ~ 2021-06-30 |
| John Butala IIi | 1104 Gatewood Drive, Enfield, CT 06082 | Electrical Unlimited Contractor | 2010-10-01 ~ 2011-09-30 |
| Colleen Bresnan Butala | 50 Glenville St., Greenwich, CT 06831 | Medication Administration Certification | 1997-05-21 ~ 1999-05-20 |
| Nirali S Merchant | 10 Amsterdam Ave Apt 705, New York, NY 10023-7490 | Dentist | 2014-08-07 ~ 2015-06-30 |
| Nirali Y Patel | 78 Camp St, Milford, MA 01757-1051 | Optometrist | 2010-10-01 ~ 2011-09-30 |
| Nirali P Patel | 9 French St, Danbury, CT 06810-5306 | Pharmacy Technician | 2013-03-27 ~ 2014-03-31 |
Please comment or provide details below to improve the information on NIRALI BUTALA.
| 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).