SOUMYADIPTA HAZRA
Physician/surgeon


Address: 303 E 33rd St Apt 6a, New York, NY 10016-7611

SOUMYADIPTA HAZRA (Credential# 565189) 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.

Business Overview

SOUMYADIPTA HAZRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047607. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 303 E 33rd St Apt 6a, New York, NY 10016-7611. The current status is active.

Basic Information

Licensee Name SOUMYADIPTA HAZRA
Credential ID 565189
Credential Number 1.047607
Credential Type Physician/Surgeon
Business Address 303 E 33rd St Apt 6a
New York
NY 10016-7611
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2009-04-22
Effective Date 2020-03-01
Expiration Date 2021-02-28
Refresh Date 2020-02-03

Other licenses

ID Credential Code Credential Type Issue Term Status
891530 CSP.0046248 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-08-28 2019-07-25 - 2021-02-28 ACTIVE

Office Location

Street Address 303 E 33RD ST APT 6A
City NEW YORK
State NY
Zip Code 10016-7611

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Competitor

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City NEW YORK
Zip Code 10016
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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