National Provider Identifier Database

JACLYN L CARNEVALE, PA-C – NPI #1932575578
Medical


Contact Information

JACLYN L CARNEVALE, PA-C
111 AMSTERDAM AVE
NEW YORK, NY10023-7410
Phone: 516-680-7538
Fax:
Website:
Specialty Taxonomy Code
* Medical 363AM0700X

* Indicates primary specialty

NPI Profile & details for JACLYN L CARNEVALE

NPI Number 1932575578
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/18/2015
Last updated 01/20/2026 - About 5 months ago
Sole proprietor1 No
Identifiers
  • NY License #: 018929
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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