Individual
DR. JAMES R TICHENOR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1522 OLD BURRSTONE RD, UTICA, NY 13502-4804
(315) 797-2450
(315) 792-4641
Mailing address
1522 OLD BURRSTONE RD, UTICA, NY 13502-4854
(315) 797-2450
(315) 792-4641
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
209734
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01924652
—
NY
Enumeration date
09/27/2006
Last updated
03/15/2019
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