Individual provider · Type 1 NPI

Jaclyn Lee Carnevale, PA-C

Medical Physician Assistant · New York, NY

NPI number 1932575578 Active

Practice location

111 Amsterdam Ave
New York, NY 10023-7410

Mailing address

600 Northern Blvd Suite #111
Great Neck, NY 11021

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X018929 (NY)

Medical Physician Assistant: Definition to come...

5 other providers at this address

Other medical physician assistant providers in New York

See all in New York →

About NPI 1932575578

Jaclyn Lee Carnevale, PA-C's National Provider Identifier is 1932575578, issued on Aug 18, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Jan 20, 2026.