Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Eclipse Integrative Wellness NP in Family Health PLLC

Organization Family Medicine Physician · NPI 1710785464

Eclipse Integrative Wellness NP in Family Health PLLC provides Family Medicine Physician services in Staten Island, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3930 Richmond Ave
Staten Island, NY 10312-5104
Phone: (917) 300-1231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1710785464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Preethi Idiculla — Owner · (917) 858-0953
NPI enumeratedMarch 6, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address968 Wendy Ct, Union, NJ 07083-5637

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