Organization
MELVIN HENRY THORNTON II MD CORP
Active
Organization
MELVIN HENRY THORNTON II MD CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BOUSKILA (CREDENTIALING MANAGER)
(646) 737-2470
Entity
Organization
Contact information
Practice address
161 MADISON AVE SUITE 4SW, NEW YORK, NY 10016-5459
(646) 737-2470
(718) 253-8117
Mailing address
24 GREENWICH AVE, CENTRAL VALLEY, NY 10917-3718
(646) 737-2470
(718) 253-8117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217796-1
STATE LICENSE
NY
Enumeration date
01/13/2021
Last updated
02/22/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up