Provider Demographics
NPI:1649532417
Name:MARIA TRUNCALI LLC
Entity type:Organization
Organization Name:MARIA TRUNCALI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL INSTRUCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ROSA
Authorized Official - Last Name:TRUNCALI
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:917-771-3722
Mailing Address - Street 1:293 DAHLGREN PL
Mailing Address - Street 2:2A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3626
Mailing Address - Country:US
Mailing Address - Phone:917-771-3722
Mailing Address - Fax:
Practice Address - Street 1:293 DAHLGREN PL
Practice Address - Street 2:2A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3626
Practice Address - Country:US
Practice Address - Phone:917-771-3722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty