ANDREW D JENIS MD
Physician/surgeon


Address: 115 Cayuga Heights Rd, Ithaca, NY 14850

ANDREW D JENIS MD (Credential# 562576) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

ANDREW D JENIS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044994. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 115 Cayuga Heights Rd, Ithaca, NY 14850. The current status is active.

Basic Information

Licensee Name ANDREW D JENIS MD
Credential ID 562576
Credential Number 1.044994
Credential Type Physician/Surgeon
Business Address 115 Cayuga Heights Rd
Ithaca
NY 14850
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2006-12-21
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-03-30

Other licenses

ID Credential Code Credential Type Issue Term Status
455707 CSP.0040873 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-12-27 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 115 CAYUGA HEIGHTS RD
City ITHACA
State NY
Zip Code 14850

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Finger Lakes Land Trust Inc (the) 202 East Court St, Ithaca, NY 14850 Public Charity 2020-06-01 ~ 2021-05-31
Kameron Eddy 434 Bostwick Road, Ithaca, NY 14850 Registered Nurse ~
Tanya S Bloom 510 E Seneca St Apt 2, Ithaca, NY 14850 Optometrist 2020-03-01 ~ 2021-02-28
Erin Halfpenny 112 Pinewood Place, Ithaca, NY 14850 Pharmacist 2020-02-01 ~ 2022-01-31
Sung-sook Smith 110 Park Lane, Ithaca, NY 14850 Pharmacist 2020-02-01 ~ 2022-01-31
Isabelle Louge 21 Rosina Drive, Ithaca, NY 14850 Veterinarian 2018-07-02 ~ 2019-07-31
Nancy S Quarrier 150 Troy Road, Ithaca, NY 14850 Occupational Therapist 2019-08-01 ~ 2021-07-31
Scott James Conley 26 Saint Joseph Lane, Ithaca, NY 14850 Physical Therapist 2017-09-21 ~ 2018-03-31
Frederick A Grout · Nys Dot 24 Woodlane Rd, Ithaca, NY 14850 Professional Engineer 1991-12-26 ~ 1993-01-31
Jeffrey R Paddock · Gen Dyn Corp E B Division 225 Snyder Hl Rd, Ithaca, NY 14850 Professional Engineer 1800-12-27 ~ 1995-01-31
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Competitor

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City ITHACA
Zip Code 14850
License Type Physician/Surgeon
License Type + County Physician/Surgeon + ITHACA

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Andrew S Gee 116 Ardmore Rd, W Hartford, CT 06119 Physician/surgeon 2001-06-29 ~ 2002-06-30
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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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