Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michele Camille Iacoviello, PA

Individual provider Surgical Physician Assistant · NPI 1780158501

Michele Camille Iacoviello, PA is a Surgical Physician Assistant in Garden City, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

777 Zeckendorf Blvd
Garden City, NY 11530-2126
Phone: (516) 832-8870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 005017 (NY)

Record details

NPI number1780158501
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 15, 2019
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022

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