Provider Demographics
NPI:1942520408
Name:DR PALEY INC
Entity Type:Organization
Organization Name:DR PALEY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:PALEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-291-8480
Mailing Address - Street 1:5 SEVERANCE CIRCLE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118
Mailing Address - Country:US
Mailing Address - Phone:216-291-8480
Mailing Address - Fax:216-291-8490
Practice Address - Street 1:5 SEVERANCE CIRCLE
Practice Address - Street 2:SUITE 108
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118
Practice Address - Country:US
Practice Address - Phone:216-291-8480
Practice Address - Fax:216-291-8490
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR PALEY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350639942085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty