MICHAEL BROMLEY MD (Credential# 562755) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
MICHAEL BROMLEY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045173. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254. The current status is active.
| Licensee Name | MICHAEL BROMLEY MD |
| Credential ID | 562755 |
| Credential Number | 1.045173 |
| Credential Type | Physician/Surgeon |
| Business Address |
2678 South Rd Ste 202 Poughkeepsie NY 12601-5254 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-03-06 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 466408 | CSP.0041273 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-03-26 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2678 SOUTH RD STE 202 |
| City | POUGHKEEPSIE |
| State | NY |
| Zip Code | 12601-5254 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bruce R Gendron Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nancy A Cooper | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Emil Shih Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Yiping Zhang | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Richard J Friedland Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jon M Lewis Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Mira Herman | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Victor D Gaines Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Jonathan J Crystal Md | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Benjamin D Seckler Md · Imagining PC | 2678 South Rd Ste 202, Poughkeepsie, NY 12601-5254 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Dudley A Watson | 246 Mansion St., Poughkeepsie, NY 12601 | Asbestos Abatement Supervisor | 2020-06-01 ~ 2021-05-31 |
| Craig M Shannon | 47 Kingwood Dr, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Maxwell Risch | 6 Marwood Dr, Poughkeepsie, NY 12601 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Chazen Engineering, Land Surveying & Landscape Architecture Ct LLC | 21 Fox St, Poughkeepsie, NY 12601 | Joint Practice | 2020-05-01 ~ 2021-04-30 |
| Paul Wright | 21 Reade Pl, Poughkeepsie, NY 12601 | Controlled Substance Registration for Practitioner | 2020-02-20 ~ 2021-02-28 |
| Faiz Y Bhora | 45 Reade Place, Dyson Cancer Center, 3rd Floor, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| David M Quinn | 45 Reade Pl, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Kelly Lynn Philiba | 12 Hanscom Ave, Poughkeepsie, NY 12601 | Naturopathic Physician | 2020-02-01 ~ 2021-01-31 |
| Danielle Williams | 2678 South Road, Suite 202, Poughkeepsie, NY 12601 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Laura M Baird | 350 Violet Ave, Poughkeepsie, NY 12601 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 12601 | |||
| City | POUGHKEEPSIE |
| Zip Code | 12601 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + POUGHKEEPSIE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| James L Montuori | 7 Bromley Ct, Lumberton, NJ 08048-4552 | Physician/surgeon | 2020-01-21 ~ 2020-08-31 |
| Daniel Bromley · Bromley Industries | 4 Plantation Rd, Broad Brook, CT 06016 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Bromley Builders LLC | 88 Williams Rd, Colchester, CT 06415-1630 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Maria T Bromley Pa | 21 Stonewall Farm Rd, Mahopac, NY 10541 | Physician Assistant | 2015-04-01 ~ 2016-03-31 |
| William J Bromley Pntrs&rstrrs LLC | 793 Norwich Ave, Colchester, CT 06415 | Home Improvement Contractor | 1996-12-01 ~ 1997-11-30 |
| Michael D Gribetz | Po Box 650, New Hartford, NY 13413-0650 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Michael F Salvana | P.o.box 233, Lee Center, NY 13363-0233 | Physician/surgeon | 2006-08-11 ~ 2007-08-31 |
| Michael F Angel | 751 Mix Ave, Hamden, CT 06514-2227 | Physician/surgeon | 1982-02-10 ~ 1984-04-30 |
| Michael J Lombino | 80 E Putnant Ave, Cos Cob, CT 06807 | Physician/surgeon | 2012-12-01 ~ 2013-11-30 |
| Michael Marchese | 31 Remove, Bronx, NY 10465 | Physician/surgeon | ~ |
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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).