BRIAN JAKE MERINGOLA (Credential# 978920) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2015. The license expiration date date is September 30, 2016. The license status is INACTIVE.
BRIAN JAKE MERINGOLA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.009012. The credential type is physical therapist. The effective date is October 1, 2015. The expiration date is September 30, 2016. The business address is 13 Higbee Rd, Hampton Bays, NY 11946-2733. The current status is inactive.
Licensee Name | BRIAN JAKE MERINGOLA |
Credential ID | 978920 |
Credential Number | 14.009012 |
Credential Type | Physical Therapist |
Business Address |
13 Higbee Rd Hampton Bays NY 11946-2733 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2011-02-22 |
Effective Date | 2015-10-01 |
Expiration Date | 2016-09-30 |
Refresh Date | 2017-01-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
978924 | 14.008978-TEMP | PT Temporary Permit | 2010-12-15 | 2010-12-15 - 2011-02-22 | INACTIVE |
Street Address | 13 HIGBEE RD |
City | HAMPTON BAYS |
State | NY |
Zip Code | 11946-2733 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Joseph Hannigan | 43a Old Riverhead Road, Hampton Bays, NY 11946 | Physical Therapist | 2019-10-31 ~ 2020-08-31 |
Valentina C Capozzoli-hadland | 23 Stuart Court, Hampton Bays, NY 11946 | Registered Nurse | 2017-04-01 ~ 2018-03-31 |
Mark G Creighton | 182 Montauk Highway, Suite 1c, Hampton Bays, NY 11946 | Physician/surgeon | ~ |
Warren Q Braddock | 10 Hampton Bays Dr, Hampton Bays, NY 11946 | Plumbing & Piping Limited Journeyperson | ~ |
Christian A Eckart | 39 Hampton Road, Hampton Bays, NY 11946 | Backflow Prevention Device Tester | 2010-07-10 ~ 2013-03-31 |
Robert S. Gassman | 15 Pepi Court, Hampton Bays, NY 11946 | Certified Public Accountant License | 2002-01-01 ~ 2002-12-31 |
Chris J Barker | 21 Catena Road, Hampton Bays, NY 11946 | Registered Nurse | 2001-12-05 ~ 2003-01-31 |
Dorothy Smith · Kramer | 36 Atlantic Ave, Hampton Bays, NY 11946 | Registered Nurse | 1995-08-21 ~ 1996-10-31 |
Melinda A Sugar-moss | 40 Wauhope Road, Hampton Bays, NY 11946 | Registered Nurse | 1992-04-24 ~ 1993-04-30 |
Luann Grohoski | 73b West Montauk Highway, Hampton Bays, NY 11946 | Hairdresser/cosmetician | 1971-09-08 ~ 1985-10-31 |
Find all Licenses in zip 11946 |
City | HAMPTON BAYS |
Zip Code | 11946 |
License Type | Physical Therapist |
License Type + County | Physical Therapist + HAMPTON BAYS |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Matthew Jake Grundstein | 46 W 85th St Apt 3b, New York, NY 10024-4507 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
Jake Lange | 4 Howd Avenue, Branford, CT 06405 | Physical Therapist Assistant | 2020-06-01 ~ 2021-05-31 |
Jessie Jake Ozaraga Fariolen | 419 Aspen Glen Dr, Hamden, CT 06518-3796 | Physical Therapist | ~ |
Jake Christian Gomez Sasis | 208 Flax Hill Road, Norwalk, CT 06854 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
Brian Ing | 6 Southfield Ln, Sandwich, MA 02563-2783 | Physical Therapist | 2019-08-29 ~ 2020-07-31 |
Brian T Wirtalla | 31 Emily Ln, Manchester, CT 06040-6659 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
Brian W Noehren | 270 S. Windham Rd. #51, Willimantic, CT 06226 | Physical Therapist | 2001-07-19 ~ 2002-02-28 |
Brian V Elsemore | 23 Stagecoach Rd, Woodbury, CT 06798-2709 | Physical Therapist | 2019-08-01 ~ 2020-07-31 |
Brian T Taber | 63 Hampshire Dr, Glastonbury, CT 06033-3074 | Physical Therapist | 2020-04-01 ~ 2021-03-31 |
Brian S Mclellan | 37 Thayer Ave, Collinsville, CT 06019-3023 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
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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).