Provider Demographics
NPI:1750429866
Name:TRINCHET, RAUL R (MD)
Entity type:Individual
Prefix:DR
First Name:RAUL
Middle Name:R
Last Name:TRINCHET
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:285 MIDDLE COUNTRY ROAD
Mailing Address - Street 2:SUITE LL-2
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787
Mailing Address - Country:US
Mailing Address - Phone:631-979-4541
Mailing Address - Fax:631-979-4546
Practice Address - Street 1:652 SUFFOLK AVE
Practice Address - Street 2:SUITE 214
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-4391
Practice Address - Country:US
Practice Address - Phone:631-617-6825
Practice Address - Fax:631-979-4546
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2010-12-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY242749207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine