MEDICARE: MARIE-ALEX MICHEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	185735	NY

General Provider Information

NPI Number	:	1477636397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE-ALEX MICHEL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 225
Second Line	:
City	:	BALDWIN
State	:	NY
Zip	:	11510
Country	:	US
Telephone Number	:	347-264-3929
Fax Number	:	929-356-2100

Provider Business Practice Location Address
First Line	:	89 BARTLETT STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11206
Country	:	US
Telephone Number	:	347-264-3929
Fax Number	:	718-630-3763

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	04/15/2026

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