Provider Demographics
NPI:1760745467
Name:PALEY, DINA
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:PALEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2531 E 7TH ST APT 2N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6246
Mailing Address - Country:US
Mailing Address - Phone:347-249-3672
Mailing Address - Fax:718-234-3520
Practice Address - Street 1:2531 E 7TH ST APT 2N
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6246
Practice Address - Country:US
Practice Address - Phone:347-249-3672
Practice Address - Fax:718-234-3520
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY193643021174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist