SAMANTHA M JANSSON MD
Physician/surgeon


Address: 200 East 66th Street, Ny, NY 10065

SAMANTHA M JANSSON MD (Credential# 553803) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2020. The license status is ACTIVE.

Business Overview

SAMANTHA M JANSSON MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036211. The credential type is physician/surgeon. The effective date is April 1, 2019. The expiration date is March 31, 2020. The business address is 200 East 66th Street, Ny, NY 10065. The current status is active.

Basic Information

Licensee Name SAMANTHA M JANSSON MD
Credential ID 553803
Credential Number 1.036211
Credential Type Physician/Surgeon
Business Address 200 East 66th Street
Ny
NY 10065
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1997-07-18
Effective Date 2019-04-01
Expiration Date 2020-03-31
Refresh Date 2019-03-22

Other licenses

ID Credential Code Credential Type Issue Term Status
484378 CSP.0042689 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2007-10-05 2017-03-01 - 2019-02-28 LAPSED

Office Location

Street Address 200 East 66th Street
City NY
State NY
Zip Code 10065

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Erik Jonathan Blutinger 166 E 63rd St, New York, NY 10065 Physician/surgeon ~
Crestview Partners Iv, Lp 590 Madison Avenue, New York, NY 10065 Securities - Exemptions 2020-06-17 ~
Abigail L Peck 406 E 63rd Street, New York, NY 10065 Registered Nurse 2020-07-01 ~ 2021-06-30
Cevat A Ozan 26 East 64th Street, New York, NY 10065 Architect 2020-08-01 ~ 2021-07-31
John E Berson 245 East 63rd Street, New York, NY 10065 Architect 2020-08-01 ~ 2021-07-31
Naomi Alper 1161 York Avenue, New York, NY 10065 Licensed Clinical Social Worker ~
Redbird Series 2019, Lp 667 Madison Ave, Fl 16, New York, NY 10065 Securities - Exemptions 2020-06-01 ~
Andrew C Shih Md 200 E 62nd St Apt 9b, New York, NY 10065 Physician/surgeon 2020-07-01 ~ 2021-06-30
Inga Katharina Mewes Blom 210 E64th St., New York, NY 10065 Psychologist ~
Flavio Gaudio 525 E. 68th St., New York, NY 10065 Physician/surgeon 2020-07-01 ~ 2021-06-30
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Competitor

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City NY
Zip Code 10065
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NY

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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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