NICOLE D GRECO PA
Physician Assistant


Address: 604 Tompkins Ave Apt B5, Mamaroneck, NY 10543-3729

NICOLE D GRECO PA (Credential# 743884) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2015. The license expiration date date is February 29, 2016. The license status is INACTIVE.

Business Overview

NICOLE D GRECO PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002135. The credential type is physician assistant. The effective date is March 1, 2015. The expiration date is February 29, 2016. The business address is 604 Tompkins Ave Apt B5, Mamaroneck, NY 10543-3729. The current status is inactive.

Basic Information

Licensee Name NICOLE D GRECO PA
Credential ID 743884
Credential Number 23.002135
Credential Type Physician Assistant
Business Address 604 Tompkins Ave Apt B5
Mamaroneck
NY 10543-3729
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2008-08-19
Effective Date 2015-03-01
Expiration Date 2016-02-29
Refresh Date 2016-06-06

Other licenses

ID Credential Code Credential Type Issue Term Status
515236 CSP.0044641 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-09-25 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 604 TOMPKINS AVE APT B5
City MAMARONECK
State NY
Zip Code 10543-3729

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Danielle Lombardozzi 336 Florence Streeet, Mamaroneck, NY 10543 Registered Nurse ~
Benedict Salanitro 609 Brook Street, Mamaroneck, NY 10543 Physical Therapist 2020-09-01 ~ 2021-08-31
Martin D Keltz 1000 Old White Plains Rd, Mamaroneck, NY 10543 Physician/surgeon 2020-07-01 ~ 2021-06-30
Pamela Bren 3 Jenny Close, Mamaroneck, NY 10543 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Jeremy R Sanderson 1311 Stoneybrook Ave., Mamaroneck, NY 10543 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
Anthony Cecere 200 West Boston Post Road, Mamaroneck, NY 10543 Real Estate Salesperson 2017-06-01 ~ 2018-05-31
Elizabeth A Anderson 315 Anita Lane, Mamaroneck, NY 10543 Physical Therapist 2020-07-01 ~ 2021-06-30
Catherine L Leone 453 Halstead Avenue, Apt. 7, Mamaroneck, NY 10543 Notary Public Appointment 2020-05-01 ~ 2025-04-30
Gregg Cameron Deangelis 451 E Boston Post Rd 2nd Flr, Mamaroneck, NY 10543 Architect 2018-08-01 ~ 2019-07-31
Allan G Styer 325 Union Ave, Mamaroweck, NY 10543 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
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Competitor

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City MAMARONECK
Zip Code 10543
License Type Physician Assistant
License Type + County Physician Assistant + MAMARONECK

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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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