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MELVIN HENRY THORNTON II MD P.C.

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Company Details

Name: MELVIN HENRY THORNTON II MD P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 15 Apr 2024 (a year ago)
Entity Number: 7313685
ZIP code: 10917
County: Orange
Place of Formation: New York
Address: 24 greenwich ave, CENTRAL VALLEY, NY, United States, 10917

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 24 greenwich ave, CENTRAL VALLEY, NY, United States, 10917

National Provider Identifier

NPI Number:
1982293098
Certification Date:
2023-02-22

Authorized Person:

Name:
SUSAN BOUSKILA
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
207VE0102X - Reproductive Endocrinology Physician
Is Primary:
Yes

Contacts:

Fax:
7182538117

Filings

Filing Number Date Filed Type Effective Date
240425002252 2024-04-15 CERTIFICATE OF INCORPORATION 2024-04-15

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State