| Eclipse Integrative Wellness Np In Family Health Pllc | |
|
3930 Richmond Ave Staten Island NY 10312-5104 | |
| (917) 300-1231 | |
| Not Available |
| Full Name | Eclipse Integrative Wellness Np In Family Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3930 Richmond Ave, Staten Island, 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 |
|---|---|
| Eclipse Integrative Wellness Np In Family Health Pllc 968 Wendy Ct Union NJ 07083-5637 Ph: (917) 858-0953 | Eclipse Integrative Wellness Np In Family Health Pllc 3930 Richmond Ave Staten Island NY 10312-5104 Ph: (917) 300-1231 |
| NPI Number | 1710785464 |
|---|---|
| Provider Enumeration Date | 03/06/2025 |
| Last Update Date | 10/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710785464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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