Tiby Iduculla
Tiby Iduculla is a Psychiatric/Mental Health Registered Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
777 Seaview AveStaten Island, NY 10305-3409
Phone: (718) 667-2600
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Specialties & licences
| Psychiatric/Mental Health Registered Nurse (primary) | Taxonomy 163WP0808X · Licence 75627601 (NY) |
|---|
Record details
| NPI number | 1245901206 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 21, 2021 |
| Last updated in NPPES | September 21, 2021 |
| Certification date | September 21, 2021 |
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