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.
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.
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 |
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 |
Street Address | 604 TOMPKINS AVE APT B5 |
City | MAMARONECK |
State | NY |
Zip Code | 10543-3729 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Find all Licenses in zip 10543 |
City | MAMARONECK |
Zip Code | 10543 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + MAMARONECK |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Robert Greco Pa | 12 Sand Rd, New Milford, CT 06770 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
Courtney Nicole Enos | 916 1/2 4th St Ne, Byron, MN 55920-1530 | Physician Assistant | ~ |
Nicole R Ciccia | 71 Joy Rd Apt C, Milford, CT 06460-6052 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Jaime A Camacho | 6 Nicole Ln, Burlington, CT 06013-2123 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
Nicole S Feagin | 30 Shelburne Rd, Stamford, CT 06902-3628 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Nicole M Spataro | 427 Williams Rd, Wallingford, CT 06492-2690 | Physician Assistant | 2018-11-01 ~ 2019-10-31 |
Nicole Ferrantelli | 59 Old Post Rd Apt F7, Clinton, CT 06413-1864 | Physician Assistant | 2010-07-01 ~ 2011-06-30 |
Nicole Ann Dietzel | 94 Hawthorne Dr, Southington, CT 06489-2818 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Ashley Nicole Hiep | 3 Sgt. Demeola Rd., Blauvelt, NY 10913 | Physician Assistant | ~ |
Nicole M Esposito | 5 Lexington Ct, Shelton, CT 06484-5961 | Physician Assistant | 2020-08-01 ~ 2021-07-31 |
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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).