NAMAN A GHAZAL-ALBAR
Physician/surgeon


Address: 460 Old Town Rd, Port Jefferson Sta, NY 11776

NAMAN A GHAZAL-ALBAR (Credential# 550849) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 22, 1995. The license expiration date date is May 31, 1996. The license status is INACTIVE.

Business Overview

NAMAN A GHAZAL-ALBAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033250. The credential type is physician/surgeon. The effective date is March 22, 1995. The expiration date is May 31, 1996. The business address is 460 Old Town Rd, Port Jefferson Sta, NY 11776. The current status is inactive.

Basic Information

Licensee Name NAMAN A GHAZAL-ALBAR
Credential ID 550849
Credential Number 1.033250
Credential Type Physician/Surgeon
Business Address 460 Old Town Rd
Port Jefferson Sta
NY 11776
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1993-08-20
Effective Date 1995-03-22
Expiration Date 1996-05-31
Refresh Date 2009-07-08

Office Location

Street Address 460 OLD TOWN RD
City PORT JEFFERSON STA
State NY
Zip Code 11776

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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
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Clark S Homan 2 Pagnotta Drive, Port Jefferson, NY 11776 Physician/surgeon 2007-09-24 ~ 2008-10-31
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City PORT JEFFERSON STA
Zip Code 11776
License Type Physician/Surgeon
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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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