FAYCAL TAHIRI (Credential# 563461) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
FAYCAL TAHIRI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045879. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 44 Tern Court, Bay Shore, NY 11706-7707. The current status is active.
Licensee Name | FAYCAL TAHIRI |
Credential ID | 563461 |
Credential Number | 1.045879 |
Credential Type | Physician/Surgeon |
Business Address |
44 Tern Court Bay Shore NY 11706-7707 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2007-09-25 |
Effective Date | 2019-10-01 |
Expiration Date | 2020-09-30 |
Refresh Date | 2019-10-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
483675 | CSP.0042654 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-09-27 | 2013-09-30 - 2015-02-28 | INACTIVE |
Street Address | 44 Tern Court |
City | BAY SHORE |
State | NY |
Zip Code | 11706-7707 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Ruby Thomas | 1682 Pine Acres Blvd, Bayshore, NY 11706 | Master's Level Social Worker | 2020-05-01 ~ 2021-04-30 |
Louis G Schwartz | 7 Ridgewood St, Bay Shore, NY 11706 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
Glenn D Scibilia | 375 East Main Street, Suite 24, Bay Shore, NY 11706 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
Heather Nicole Martin | 345 Atlantic Ave, Bay Shore, NY 11706 | Registered Nurse | 2018-11-15 ~ 2019-08-31 |
Joseph Marino | 2 Pinebrook Place, Bay Shore, NY 11706 | Notary Public Appointment | 2001-08-23 ~ 2006-08-31 |
Christopher J Delisle | 47 Community Road, Bayshore, NY 11706 | Notary Public Appointment | 2006-07-01 ~ 2011-06-30 |
Eddie Santiago | 711 Justine Court, Bayshore, NY 11706 | Repairer of Weighing & Measuring Devices | 2020-01-01 ~ 2020-12-31 |
John Dundon | 1141 Nugent Avenue, Bay Shore, NY 11706 | Advanced Emergency Medical Technician | ~ |
Emilie L Bui | 117 Cleveland Street, Bay Shore, NY 11706 | Pharmacy Intern | 2016-05-16 ~ 2018-09-30 |
Jay E Tuller · Rosenbaum Design Group | 18 Mystic Circle, Bay Shore, NY 11706 | Architect | 2019-08-01 ~ 2020-07-31 |
Find all Licenses in zip 11706 |
City | BAY SHORE |
Zip Code | 11706 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BAY SHORE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tahiri Contreras | 3531 Stewart Rd., Doraville, GA 30340 | Emergency Medical Technician | ~ |
Jashar Tahiri · Alco Home Improvement Co | 37 Manila Ave, Woodbridge, CT 06525-2349 | Home Improvement Contractor | 2010-12-01 ~ 2011-11-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
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 |
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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).