Most Relevant Information
Provider Data
| NPI Number: | 1003062415 |
| Provider Name: | DIANA MELISA IDELSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 081986-1 |
Most Important Dates
| Enumeration Date: | 08/18/2008 |
| Last Updated: | 03/22/2019 |
Provider Practice Location
1124 ROUTE 94 STE 201
NEW WINDSOR
NY
125537258
Practice Location Phone/Fax
| Phone: | 8457871355 |
| Fax: | 8457871366 |
Provider Mailing Location
23 BIRCH RD
HIGHLAND MILLS
NY
109302934
Provider Mailing Phone/Fax
| Phone: | 8455375706 |
| Fax: |