| Spectra Well Care | |
| 
					228 Park Ave South Ny #180094 Newyork NY 10003  | |
| (917) 858-0953 | |
| Not Available | 
| Full Name | Spectra Well Care | 
|---|---|
| Speciality | Family Medicine | 
| Location | 228 Park Ave South Ny #180094, Newyork, New York | 
| Authorized Official Name and Position | Preethi Idiculla (OWNER) | 
| Authorized Official Contact | 9178580953 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Spectra Well Care 968 Wendy Ct Union NJ 07083-5637 Ph: (917) 858-0953  | Spectra Well Care 228 Park Ave South Ny #180094 Newyork NY 10003 Ph: (917) 858-0953  | 
| NPI Number | 1710785464 | 
|---|---|
| Provider Enumeration Date | 03/06/2025 | 
| Last Update Date | 03/06/2025 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710785464 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |