Provider Demographics
NPI:1770511263
Name:PALEY, MICHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHEL
Middle Name:
Last Name:PALEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHEL
Other - Middle Name:
Other - Last Name:BOCHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:36 JEROME AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-3804
Mailing Address - Country:US
Mailing Address - Phone:917-312-6760
Mailing Address - Fax:
Practice Address - Street 1:69 ORIENT WAY
Practice Address - Street 2:MEDICAL IMAGING, P.A.
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2011
Practice Address - Country:US
Practice Address - Phone:201-933-5666
Practice Address - Fax:201-933-5662
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA086696002085R0202X
NY226299-12085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02654699Medicaid
NYI29775Medicare UPIN
NY757T61Medicare ID - Type Unspecified