Organization
LUNA WELLNESS INC
Active
Organization
LUNA WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLADA TINATTI (PRESIDENT)
(212) 240-9471
Entity
Organization
Contact information
Practice address
111 JOHN ST STE 1450, NEW YORK, NY 10038-3122
(212) 240-9471
Mailing address
99 PERCY WILLIAMS DR, EAST ISLIP, NY 11730-2219
(212) 240-9471
(201) 353-2926
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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