Provider Demographics
NPI:1679898019
Name:STRELOW, BRINGHAM THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:BRINGHAM
Middle Name:THOMAS
Last Name:STRELOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 THOMPSON ST
Mailing Address - Street 2:6EN
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-4841
Mailing Address - Country:US
Mailing Address - Phone:612-845-5611
Mailing Address - Fax:
Practice Address - Street 1:210 THOMPSON ST
Practice Address - Street 2:6EN
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-4841
Practice Address - Country:US
Practice Address - Phone:612-845-5611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program