Individual
MR. DAVID D. ILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
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
PR033101-1
NY
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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