STACY GOLDBERG
Occupational Therapist


Address: 358 Avalon Gardens Drive, Nanuet, NY 10954

STACY GOLDBERG (Credential# 774669) is licensed (Occupational Therapist) with Connecticut Department of Consumer Protection. The license effective date is August 18, 1999. The license expiration date date is July 31, 2001. The license status is INACTIVE.

Business Overview

STACY GOLDBERG is licensed with the Department of Consumer Protection of Connecticut. The credential number is #48.001833. The credential type is occupational therapist. The effective date is August 18, 1999. The expiration date is July 31, 2001. The business address is 358 Avalon Gardens Drive, Nanuet, NY 10954. The current status is inactive.

Basic Information

Licensee Name STACY GOLDBERG
Credential ID 774669
Credential Number 48.001833
Credential Type Occupational Therapist
Business Address 358 Avalon Gardens Drive
Nanuet
NY 10954
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1997-05-02
Effective Date 1999-08-18
Expiration Date 2001-07-31
Refresh Date 2009-07-08

Other locations

Licensee Name Office Address Credential Effective / Expiration
Stacy Goldberg 25 Jenick Ln, Woodbridge, CT 06525-1935 Family Child Care Home ~

Office Location

Street Address 358 AVALON GARDENS DRIVE
City NANUET
State NY
Zip Code 10954

Licenses in the same zip code

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Gregg Manzione 2 Essex Court, Nanuet, NY 10954 Certified General Real Estate Appraiser 2020-05-01 ~ 2021-04-30
Helene S Worob 96 Briar Rd, Nanuet, NY 10954 Registered Nurse 2020-07-01 ~ 2021-06-30
Lauren R Schneider 1351 Washington Blvd Ste 101, Stamford, CT 10954 Physician/surgeon 2020-07-01 ~ 2021-06-30
Dena Maurice Barsoum 33 Cornell Dr, Bardonia, NY 10954 Physician/surgeon 2020-04-01 ~ 2021-03-31
Cindy Moran 28 Bridge Rd, Nanuet, NY 10954 Physician Assistant 2020-03-19 ~ 2021-02-28
Margaret A Baker 75 Village Green, Bardonia, NY 10954 Registered Nurse 2020-02-01 ~ 2021-01-31
Cool Pool Inc 85 S Pascack Road, Nanuet, NY 10954 Home Improvement Contractor 2019-12-01 ~ 2020-11-30
Carmen Soliman 9 Kings Ct, Nanuet, NY 10954 Registered Nurse 2020-04-01 ~ 2021-03-31
John-paul Y Sergio 53 Eagle Ridge Way, Nanuet, NY 10954 Pharmacist 2020-02-01 ~ 2022-01-31
Annie Kang 318 Arlington Court, Bardonia, NY 10954 Occupational Therapist ~
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Competitor

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City NANUET
Zip Code 10954
License Type Occupational Therapist
License Type + County Occupational Therapist + NANUET

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Stacy M Wilcox 43 Greystone Rd, West Hartford, CT 06107-3728 Occupational Therapist 2019-08-01 ~ 2021-07-31
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Linda J Stacy 257 Bumstead Road, Monson, MA 01057 Occupational Therapist Assistant ~ 1995-07-31
Susan Goldberg-orlik · Orlik 202 Briarfield Dr, Apex, NC 27502-7035 Occupational Therapist Assistant 2003-07-30 ~ 2005-07-31
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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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