# MICHAEL PALTIEL MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adult and Pediatric Dermatology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013175165
- **Authorized official:** MICHAEL PALTIEL M.D. (DERMATOLOGIST)
- **Authorized official phone:** (917) 526-8498

## Contact information

- **Practice address:** 107 NORTHERN BLVD STE 206, GREAT NECK, NY 11021-4309
- **Practice address phone:** (516) 829-3376
- **Practice address fax:** (516) 829-2019
- **Mailing address:** 10845 65TH AVE, FOREST HILLS, NY 11375-1419
- **Mailing address phone:** (917) 526-8498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 245541 | NY | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 11/01/2010