| NPI | 1669595385 |
|---|---|
| Other Name | WELLINGTON S. TICHENOR, M.D. |
| Entity Type | Organization |
| Authorized Contact | WELLINGTON SHELTON TICHENOR Owner 212-517-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2012-07-10 |