Individual
MS. SNEHA ELIZABETH IDICULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 COUNTY CENTER ROAD, WHITE PLAINS, NY 10607
(914) 461-2808
(914) 328-5196
Mailing address
10 COUNTY CENTER ROAD, WHITE PLAINS, NY 10607
(914) 461-2808
(914) 328-5196
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
733271
NY
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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