ONI J BLACKSTOCK
Physician/surgeon


Address: 313 W 118th St Apt 4e, New York, NY 10026-1061

ONI J BLACKSTOCK (Credential# 933779) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 13, 2010. The license expiration date date is November 30, 2010. The license status is INACTIVE.

Business Overview

ONI J BLACKSTOCK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048985. The credential type is physician/surgeon. The effective date is July 13, 2010. The expiration date is November 30, 2010. The business address is 313 W 118th St Apt 4e, New York, NY 10026-1061. The current status is inactive.

Basic Information

Licensee Name ONI J BLACKSTOCK
Credential ID 933779
Credential Number 1.048985
Credential Type Physician/Surgeon
Business Address 313 W 118th St Apt 4e
New York
NY 10026-1061
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-07-13
Effective Date 2010-07-13
Expiration Date 2010-11-30
Refresh Date 2011-03-02

Office Location

Street Address 313 W 118TH ST APT 4E
City NEW YORK
State NY
Zip Code 10026-1061

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Dorothy L Blackmun 111 West 117th St., New York, NY 10026 Physician/surgeon 2020-06-01 ~ 2021-05-31
Adewale O Olayode 304 West 117th Street, New York, NY 10026 Physician/surgeon 2020-05-01 ~ 2021-04-30
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Bradley E Martin 444 Manhattan Ave, New York, NY 10026 Registered Nurse 2020-03-01 ~ 2021-02-28
Marjorie A Beutel 329 West 112th Street, New York, NY 10026 Tax Preparer/facilitator Permit 2020-02-11 ~ 2022-02-28
Maria Losyeva 136 West 111th Street Apt 3fe, New York, NY 10026 Professional Engineer 2020-02-01 ~ 2021-01-31
Denisha Johnson 283 West 118 Street Apt 3b, New York, NY 10026 Master's Level Social Worker 2018-05-01 ~ 2019-04-30
Derek D Pozzessere 225 Central Park North, New York City, NY 10026 Registered Nurse 2019-08-01 ~ 2020-07-31
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Competitor

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City NEW YORK
Zip Code 10026
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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