ROBERT J DIGIACCO DO (Credential# 559777) 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.
ROBERT J DIGIACCO DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042195-DO. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 34 Klondike Rd, Ogdensburg, NY 13669-4469. The current status is active.
| Licensee Name | ROBERT J DIGIACCO DO |
| Credential ID | 559777 |
| Credential Number | 1.042195-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
34 Klondike Rd Ogdensburg NY 13669-4469 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-03-08 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-20 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 363676 | CSP.0034683 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-03-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 34 KLONDIKE RD |
| City | OGDENSBURG |
| State | NY |
| Zip Code | 13669-4469 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jill A Hebert | 108 Lafayette Street, Ogdensburg, NY 13669 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Danny Sekhon | 715 Lisbon Street, Ogdensburg, NY 13669 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Sarika N Shah-sekhon Md | 313 Rennselaer Ave, Ogdensburg, NY 13669 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Ali Gharagozloo | 5433 State Highway 37, Ogdensburg, NY 13669 | Physician/surgeon | 2011-03-01 ~ 2012-02-29 |
| Amanda Hunter | P.o. Box 731, Ogdensburg, NY 13669 | Speech and Language Pathologist | 2001-10-05 ~ 2002-11-30 |
| Eric J Lahue | 1013 Lafayette St., Ogdensburg, NY 13669 | Physical Therapist | 2005-11-15 ~ 2006-02-28 |
| Valerie E Sobotka Pagano | 630 County Route 4, Ogdensburg, NY 13669 | Physical Therapist | 2004-05-26 ~ 2005-05-31 |
| Mihaela Vasiliu | 504 Champlain Street, Ogdensburg, NY 13669 | Physician/surgeon | 2006-11-24 ~ 2008-01-31 |
| Patrick J Murphy | 720 Linden Street, Ogdensburg, NY 13669-0623 | Electrical Unlimited Contractor | 2017-10-01 ~ 2018-09-30 |
| Scott A Bennett | 300 Franklin St Apt 1, Ogdensburg, NY 13669-1631 | Licensed Clinical Social Worker | 2017-07-01 ~ 2018-06-30 |
| Find all Licenses in zip 13669 | |||
| City | OGDENSBURG |
| Zip Code | 13669 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + OGDENSBURG |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Robert J Gionfriddo | CT | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Robert Sussman | 167 Purchase St, Rye, NY 10580 | Physician/surgeon | 2001-04-16 ~ 2002-05-31 |
| Robert Koenekoop | Westmount, QC H37 2W4 | Physician/surgeon | 2007-10-05 ~ 2008-10-31 |
| Robert H Birchenough | P.o. Box 95, Cleverdale, NY 12820 | Physician/surgeon | 2013-01-01 ~ 2013-12-31 |
| Robert Samaniego | 33 Cedar St Ste 3, Rye, NY 10580-2031 | Physician/surgeon | 2014-12-01 ~ 2015-11-30 |
| Robert Nordness | 141 Elm St, Stonington, CT 06378-1163 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Robert M Amick | 260 Lee St, Brookline, MA 02445-5915 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Robert B Sirkin | Po Box 903, Grantham, NH 03753 | Physician/surgeon | 1995-08-18 ~ 1996-05-31 |
| Robert F Porges | 530 First Ave, New York, NY 10016 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
Please comment or provide details below to improve the information on ROBERT J DIGIACCO DO.
| 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).