BARRY J KANNER MD (Credential# 561773) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
BARRY J KANNER MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044191. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 3130 Netherland Ave, Bronx, NY 10463. The current status is active.
| Licensee Name | BARRY J KANNER MD |
| Credential ID | 561773 |
| Credential Number | 1.044191 |
| Credential Type | Physician/Surgeon |
| Business Address |
3130 Netherland Ave Bronx NY 10463 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-03-28 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 435171 | CSP.0039027 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-04-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 3130 NETHERLAND AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10463 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jordan Matlovsky | 3050 Fairfield Ave, Bronx, NY 10463 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
| Karen L Brooks | 3363 Sedgwick Ave. Apt, 2n, Bronx, NY 10463 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Roslyn M. Cusack | 474 W 238th Street, Bronx, NY 10463 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Martin A Drooker | 2500 Johnson Avenue, Apt. 18m, Bronx, NY 10463 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Yvelisse Aybar | 3850 Sedgwick Avenue, Bronx, NY 10463 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
| Elliot Weiner | 3701 Henry Hudson Parkway, Bronx, NY 10463 | Psychologist | ~ |
| Jamie Lee Diaz Monsale | 3611 Henry Hudson Parkway, Apt 5e, Bronx, NY 10463 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Gerald Pontones | 60 Knolls Crescent 2j, Bronx, NY 10463 | Home Improvement Salesperson | 2020-03-09 ~ 2020-11-30 |
| Iniva R Ngaka | 2287 Johnson Avenue Apt. 11c, Bronx, NY 10463 | Dentist | 2020-03-01 ~ 2021-02-28 |
| Melissa Smart | 189 A W. Kingsbridge Rd, Bronx, NY 10463 | Registered Nurse | 2018-10-01 ~ 2019-09-30 |
| Find all Licenses in zip 10463 | |||
| City | BRONX |
| Zip Code | 10463 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRONX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Barry D Stimmel | Po Box 175, Ancramdale, NY 12503 | Physician/surgeon | 2011-11-01 ~ 2012-10-31 |
| Barry J Tils | Po Box 650, Chinle, AZ 86503 | Physician/surgeon | 1994-11-21 ~ 1996-01-31 |
| Barry S Hyman | 204 Rt 9w, New Windsor, NY 12553 | Physician/surgeon | 1996-04-26 ~ 1997-01-31 |
| Barry E Slitzky | 299 Carew St, Springfield, MA 01104 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Barry Goldberg Md | 17 Hillhouse Ave, New Haven, CT 06520 | Physician/surgeon | 2006-11-03 ~ 2007-12-31 |
| Barry J Richter | 60 Old Quarry Rd, Guilford, CT 06437 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Barry D Shaktman | 525 E. 68th St. J-130, New York, NY 10021 | Physician/surgeon | 2002-05-20 ~ 2003-05-31 |
| Barry J Lobovits | 163 South St Ste 3, Pittsfield, MA 01201-6875 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Barry S Levy | 20 N Main St Ste 200, Sherborn, MA 01770-7230 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Barry M Concool | 897 Sheffield Rd, Teaneck, NJ 07666-5651 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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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).