MEDICARE: MR. STEVEN J TRUNCALE MA CCC SLP TSHH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	012696	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336122753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN J TRUNCALE MA CCC SLP TSHH

Provider Business Mailing Address
First Line	:	15 ELLSWORTH PL
Second Line	:
City	:	EAST NORTHPORT
State	:	NY
Zip	:	11731-5723
Country	:	US
Telephone Number	:	631-889-1213
Fax Number	:	631-462-0020

Provider Business Practice Location Address
First Line	:	423 CLAY PITTS RD
Second Line	:	BIRCHWOOD ASSISTED LIVING
City	:	EAST NORTHPORT
State	:	NY
Zip	:	11731-3801
Country	:	US
Telephone Number	:	631-889-1213
Fax Number	:	631-462-0020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	07/08/2007

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Directions to “ MR. STEVEN J TRUNCALE MA CCC SLP TSHH” Practice Location

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