Provider Demographics
NPI:1083896799
Name:PALEY, WINSTON (MD)
Entity Type:Individual
Prefix:
First Name:WINSTON
Middle Name:
Last Name:PALEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 NORTHERN BOULEVARD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-487-4408
Mailing Address - Fax:516-487-4543
Practice Address - Street 1:935 NORTHERN BOULEVARD
Practice Address - Street 2:SUITE 202
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-487-4408
Practice Address - Fax:516-487-4543
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY096945207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAP3482623OtherDEA
959701Medicare PIN
NYAP3482623OtherDEA