Individual
DR. MICHAEL ANTHONY TRUOCCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110 NORTH OCEAN AVE, SUITE C, PATCHOGUE, NY 11772
(631) 447-0004
(631) 667-1751
Mailing address
110 NORTH OCEAN AVE, SUITE C, PATCHOGUE, NY 11772
(631) 447-0004
(631) 667-1751
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034330
NY
122300000X
Dentist
34330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034330
DENTAL LICENSE
NY
Enumeration date
10/10/2006
Last updated
06/19/2012
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