Provider Demographics
NPI:1063562650
Name:PALEY, HEATHER LYN (LMSW)
Entity type:Individual
Prefix:PROF
First Name:HEATHER
Middle Name:LYN
Last Name:PALEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W 95TH ST APT 12J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6356
Mailing Address - Country:US
Mailing Address - Phone:212-288-3771
Mailing Address - Fax:914-285-5723
Practice Address - Street 1:200 E 33RD ST APT 31J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4832
Practice Address - Country:US
Practice Address - Phone:212-725-0192
Practice Address - Fax:914-285-5723
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY07369411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1386686855OtherPSYCHIATRIST