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

NPI Profile for JACLYN L CARNEVALE in NEW YORK, NY.

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Contact Information

JACLYN L CARNEVALE, PA-C
111 AMSTERDAM AVE
NEW YORK, NY  10023-7410
 Phone: 516-680-7538
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Medical

 363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACLYN L CARNEVALE · (Female)

NPI # 1932575578
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/18/2015
Last updated 01/20/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 018929
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
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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