JOSEPH V COSTANZO (Credential# 548689) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
JOSEPH V COSTANZO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.030781. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 292 Long Ridge Rd Ste 103, Stamford, CT 06902-1627. The current status is active.
Licensee Name | JOSEPH V COSTANZO |
Credential ID | 548689 |
Credential Number | 1.030781 |
Credential Type | Physician/Surgeon |
Business Address |
292 Long Ridge Rd Ste 103 Stamford CT 06902-1627 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 1990-05-18 |
Effective Date | 2020-05-01 |
Expiration Date | 2021-04-30 |
Refresh Date | 2020-04-29 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
158921 | CSP.0018081 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 292 LONG RIDGE RD STE 103 |
City | STAMFORD |
State | CT |
Zip Code | 06902-1627 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Debra A Daunt Md | 292 Long Ridge Rd Ste 103, Stamford, CT 06902-1627 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Brianna S Siegel | 292 Long Ridge Rd Ste 103, Stamford, CT 06902-1627 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Tomas J Vietorisz Md | 292 Long Ridge Rd Ste 103, Stamford, CT 06902-1627 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Katherine S Sandhu Md | 292 Long Ridge Rd Ste 202, Stamford, CT 06902-1627 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Jill V Ely Aprn | 292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Maria A Digiovanni | 292 Long Ridge Rd Ste 104, Stamford, CT 06902-1627 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Lynn J Morris | 292 Long Ridge Rd Ste 101, Stamford, CT 06902-1627 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Craig Daniel Tifford Md | 260 Long Ridge Rd, Stamford, CT 06902-1627 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Robert Plansky Md | 292 Long Ridge Rd, Stamford, CT 06902-1627 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Rebekah M Gospin | Endocrinology, Stamford, CT 06902-1627 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Melissa K. Goldstein | 292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Richard M Slutsky Md | 292 Long Ridge Rd Ste 101, Stamford, CT 06902-1627 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Maria Cecilia C Asnis | 292 Long Ridge Rd Ste 206, Stamford, CT 06902-1627 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Find all Licenses in zip 06902-1627 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06902 |
City | STAMFORD |
Zip Code | 06902 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + STAMFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Michael F Costanzo | 41 North Salem Rd, Katonah, NY 10536 | Physician/surgeon | 1992-11-24 ~ 1993-12-31 |
Nicholas J Costanzo | 13 Beaverbrook Rd, West Simsbury, CT 06092-2702 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Damian P Di Costanzo | 100 Midland Avenue, Port Chester, NY 10573 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
David S Costanzo · Kosty R Costanzo | 51 Lincoln St, Cromwell, CT 06416 | Real Estate Salesperson | 1996-07-24 ~ 1997-05-31 |
Joseph Costanzo Jr | 74 Ranney St, East Hartford, CT 06108 | Home Improvement Salesperson | 2019-12-01 ~ 2020-11-30 |
Joseph Cordone | 65 Costanzo Court, Hamden, CT 06518 | Real Estate Salesperson | 2007-06-26 ~ 2008-05-31 |
Joseph J Costanzo | 255 East Main Street, Waterbury, CT 06702 | Emergency Medical Responder | 2020-01-01 ~ 2022-12-31 |
Joseph L Costanzo Jr · Heritage Associates | 863 East Main St, Stamford, CT 06902 | Real Estate Salesperson | 2005-06-01 ~ 2006-05-31 |
Joseph Matthews | 385 S End Ave Apt 3b, New York, NY 10280-1039 | Physician/surgeon | ~ |
Joseph S Yeh Md | 333 E. 30th St. Apt. 5l, New York, NY 10016 | Physician/surgeon | 2014-06-01 ~ 2015-05-31 |
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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).