JUDITH ANN GOLDSTEIN MD
Physician/surgeon


Address: 245 East 25th Street, New York, NY 10010

JUDITH ANN GOLDSTEIN MD (Credential# 556012) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 10, 2000. The license expiration date date is April 30, 2001. The license status is INACTIVE.

Business Overview

JUDITH ANN GOLDSTEIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038422. The credential type is physician/surgeon. The effective date is April 10, 2000. The expiration date is April 30, 2001. The business address is 245 East 25th Street, New York, NY 10010. The current status is inactive.

Basic Information

Licensee Name JUDITH ANN GOLDSTEIN MD
Credential ID 556012
Credential Number 1.038422
Credential Type Physician/Surgeon
Business Address 245 East 25th Street
New York
NY 10010
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2000-02-23
Effective Date 2000-04-10
Expiration Date 2001-04-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
230191 CSP.0029329 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2000-03-14 - 2001-02-28 INACTIVE

Office Location

Street Address 245 EAST 25TH STREET
City NEW YORK
State NY
Zip Code 10010

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City NEW YORK
Zip Code 10010
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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