Healthcare Provider Details

I. General information

NPI: 1952259525
Provider Name (Legal Business Name): NICHOLAS JOSEPH TRINGALI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 ADAMS ST
EAST ROCKAWAY NY
11518-1922
US

IV. Provider business mailing address

75 ADAMS ST
EAST ROCKAWAY NY
11518-1922
US

V. Phone/Fax

Practice location:
  • Phone: 516-343-2668
  • Fax:
Mailing address:
  • Phone: 516-343-2668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number036664
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: