NPI: 1669595385
Provider Name: PARK AVENUE ENDOSCOPY, PLLC
Other Name: WELLINGTON S. TICHENOR, M.D.
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization
Specialization: Endoscopy
Address:
642 PARK AVENUE
NEW YORK, NY
ZIP 10021
Phone: (212) 517-6611
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PARK AVENUE ENDOSCOPY, PLLC is an endoscopy clinic center in New York, NY. PARK AVENUE ENDOSCOPY, PLLC NPI is 1669595385. The provider is registered as an organization entity type.
The provider Other Name Is Wellington S. Tichenor, M.d..
The provider's business location address is:
642 PARK AVENUE
NEW YORK, NY
ZIP 10021-105
Phone: (212) 517-6611
Fax: (212) 517-2132
The provider's authorized official is Wellington Shelton Tichenor .
The authorized official title is Owner and has the following contact phone number (212) 517-6611.
The enumeration date for this NPI number is 4/9/2007 and was last updated on 7/10/2012.