Individual
MICHAEL CARNEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
580 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 321-6801
Mailing address
2311 CORNELL LOOP, YAPHANK, NY 11980-2614
(631) 335-9244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
363AS0400X
Surgical Physician Assistant
Primary
—
NY
Other
Enumeration date
01/19/2026
Last updated
04/21/2026
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