Provider Demographics
NPI:1023086030
Name:TRUNCA, CAROLYN (PHD)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:
Last Name:TRUNCA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:48 ROUTE 25A
Mailing Address - Street 2:THE GENETICS CENTER, INC. SUITE 205
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-1431
Mailing Address - Country:US
Mailing Address - Phone:631-862-3620
Mailing Address - Fax:631-862-3622
Practice Address - Street 1:48 ROUTE 25A
Practice Address - Street 2:SUITE 205
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-1431
Practice Address - Country:US
Practice Address - Phone:631-862-3620
Practice Address - Fax:631-862-3622
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics