Provider Demographics
NPI:1962054965
Name:JENNIFER TRUGLIO-SHINSKY AU D
Entity type:Organization
Organization Name:JENNIFER TRUGLIO-SHINSKY AU D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:TRUGLIO-SHINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:AU D
Authorized Official - Phone:631-291-0327
Mailing Address - Street 1:52 HAMPTONS COURT DR E
Mailing Address - Street 2:
Mailing Address - City:EASTPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11941-1631
Mailing Address - Country:US
Mailing Address - Phone:631-291-0327
Mailing Address - Fax:
Practice Address - Street 1:560 NORTHERN BLVD STE 104
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5100
Practice Address - Country:US
Practice Address - Phone:516-466-3266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech