Provider Demographics
NPI:1245378520
Name:PALU, RICHARD NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:NEIL
Last Name:PALU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:161 MADISON AVE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5421
Mailing Address - Country:US
Mailing Address - Phone:212-213-9783
Mailing Address - Fax:212-213-4364
Practice Address - Street 1:161 MADISON AVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5421
Practice Address - Country:US
Practice Address - Phone:212-213-9783
Practice Address - Fax:212-213-4364
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2009-06-22
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Provider Licenses
StateLicense IDTaxonomies
NY164811207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY17F471Medicare PIN
NYB77254Medicare UPIN
NJ701184Medicare PIN