Provider Demographics
NPI:1508939257
Name:SCHORI, MELISSA P (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:P
Last Name:SCHORI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3671 HUDSON MANOR TER APT 7C
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1138
Mailing Address - Country:US
Mailing Address - Phone:917-952-4956
Mailing Address - Fax:
Practice Address - Street 1:234 EAST 149TH STREET LINCOLN MEDICAL CENTER
Practice Address - Street 2:SUITE 2D3
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-5235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142603207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine