Tiby Iduculla is a psychiatric/mental health registered nurse in Staten Island, NY. Tiby Iduculla NPI is 1245901206. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
777 SEAVIEW AVE
STATEN ISLAND, NY
ZIP 10305-409
Phone: (718) 667-2600
The enumeration date for this NPI number is 9/21/2021 and was last updated on 9/21/2021.