ERICA AMIANDA
Physician Assistant


Address: 476 Jefferson St Apt 213, Brooklyn, NY 11237-2308

ERICA AMIANDA (Credential# 989158) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 29, 2011. The license expiration date date is August 31, 2011. The license status is INACTIVE.

Business Overview

ERICA AMIANDA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002556. The credential type is physician assistant. The effective date is March 29, 2011. The expiration date is August 31, 2011. The business address is 476 Jefferson St Apt 213, Brooklyn, NY 11237-2308. The current status is inactive.

Basic Information

Licensee Name ERICA AMIANDA
Credential ID 989158
Credential Number 23.002556
Credential Type Physician Assistant
Business Address 476 Jefferson St Apt 213
Brooklyn
NY 11237-2308
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2011-03-29
Effective Date 2011-03-29
Expiration Date 2011-08-31
Refresh Date 2014-07-24

Office Location

Street Address 476 JEFFERSON ST APT 213
City BROOKLYN
State NY
Zip Code 11237-2308

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Patricia Marie Ridad Zamora 1660 Dekalb Ave, Brooklyn, NY 11237 Registered Nurse 2019-03-01 ~ 2020-02-29
Inmaculada Andeme Ncogo Alene 1667 Dekalb Avenue, Brooklyn, NY 11237 Physician/surgeon ~
Adamba Imports International Inc 585 Meserole St, Brooklyn, NY 11237 Apple Juice & Cider Manufacturer 2011-07-01 ~ 2012-06-30
Annette Bacani Gabica 1719 Dekalb Avenue, Brooklyn, NY 11237 Registered Nurse 2016-09-19 ~ 2017-08-31
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Competitor

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City BROOKLYN
Zip Code 11237
License Type Physician Assistant
License Type + County Physician Assistant + BROOKLYN

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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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