Most Relevant Information
Provider Data
| NPI Number: | 1003281932 |
| Provider Name: | GILLIAN DAVID LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/03/2015 |
| Last Updated: | 12/03/2015 |
Provider Practice Location
83 MAIDEN LN
6TH FLOOR
NEW YORK
NY
100384812
Practice Location Phone/Fax
| Phone: | 6468456039 |
| Fax: |
Provider Mailing Location
762 E 84TH ST
FIRST FLOOR
BROOKLYN
NY
112363502
Provider Mailing Phone/Fax
| Phone: | 6468456039 |
| Fax: |