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Organization
NASSAU PSYCHOTHERAPY SERVICES
Active
Organization
NASSAU PSYCHOTHERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID D. ILSON LCSW (PSYCHOTHERAPIST)
(516) 594-0331
Entity
Organization
Contact information
Practice address
30 HEMPSTEAD AVE, SUITE 143A, ROCKVILLE CENTRE, NY 11570-4033
(516) 594-0331
(516) 538-8673
Mailing address
30 HEMPSTEAD AVE, SUITE 143A, ROCKVILLE CENTRE, NY 11570-4033
(516) 594-0331
(516) 538-8673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PR 033101-1
NY
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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