GHAZANFAR W HAIDERY (Credential# 553818) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
GHAZANFAR W HAIDERY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.036226. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is P.o.box 447, Old Brookville, NY 11545-0447. The current status is active.
| Licensee Name | GHAZANFAR W HAIDERY |
| Credential ID | 553818 |
| Credential Number | 1.036226 |
| Credential Type | Physician/Surgeon |
| Business Address |
P.o.box 447 Old Brookville NY 11545-0447 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1997-07-25 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 196059 | CSP.0026843 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 - 2000-02-28 | INACTIVE |
| Street Address | P.O.Box 447 |
| City | Old Brookville |
| State | NY |
| Zip Code | 11545-0447 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Panagiotis Koklanos | 96 Plymouth Dr N, Glen Head, NY 11545 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Allison R Aikman | 21 Beechwood Drive, Glen Head, NY 11545 | Notary Public Appointment | 2016-07-22 ~ 2021-07-31 |
| Jane S Fagan | 136 High Farms Road, Glen Head, NY 11545 | Notary Public Appointment | 2005-12-05 ~ 2010-12-31 |
| Banfi Products Corp | 1111 Cedar Swamp Rd, Old Brookville, NY 11545 | Out of State Shipper Liquor | 2019-10-11 ~ 2020-10-10 |
| Suraj Rambhia | 3 Bridle Path Court, Glen Head, NY 11545 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Richard B Serchuk | 5 Valentines Lane, Old Brookville, NY 11545 | Dentist | 2019-06-01 ~ 2020-05-31 |
| Kevin Basham | 99 Plymouth Dr. North, Glen Head, NY 11545 | Physician/surgeon | 2017-08-01 ~ 2018-07-31 |
| John A Notaro | 1005 Glen Cove Ave, Glen Head, NY 11545 | Architect | 2016-08-01 ~ 2017-07-31 |
| Song Young Yu | 14a Quaker Ridge Dr., Brookville, NY 11545 | Physician/surgeon | 2016-01-01 ~ 2016-12-31 |
| Michael Haratunian | 1 Salem Way, Glen Head, NY 11545 | Professional Engineer | 2005-02-01 ~ 2006-01-31 |
| Find all Licenses in zip 11545 | |||
| City | Old Brookville |
| Zip Code | 11545 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Old Brookville |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
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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).