Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Park Avenue Endoscopy, PLLC

Organization Endoscopy Clinic/Center · NPI 1669595385

Park Avenue Endoscopy, PLLC is an Endoscopy Clinic/Center in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

642 Park Ave
New York, NY 10021-6105
Phone: (212) 517-6611
Fax: (212) 517-2132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endoscopy Clinic/Center (primary) Taxonomy 261QE0800X (NY)

Record details

NPI number1669595385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wellington Tichenor — Owner · (212) 517-6611
Other names Wellington S. Tichenor, M.D.
NPI enumeratedApril 9, 2007
Last updated in NPPESJuly 10, 2012
Mailing address642 Park Ave, New York, NY 10065-6105

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