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Individual

MR. CHRISTOPHER M DIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
100 EAST 77TH ST, 4TH FLOOR, EAST BUILDING, NEW YORK, NY 10075
(212) 604-1287
(212) 604-1288
Mailing address
20 GRAND STREET, 3RD FL, WARWICK, NY 10990-1035
(845) 777-3569
(845) 987-5979

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
194811
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01523660
NY
Enumeration date
09/09/2005
Last updated
12/18/2019
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