Individual
THOMAS WICHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 BI COUNTY BLVD STE 450, FARMINGDALE, NY 11735-3995
(718) 264-1640
Mailing address
124 HAVEN LN, LEVITTOWN, NY 11756-3514
(516) 581-7781
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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