Individual
KEITH R DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSMFT
Contact information
Practice address
7 W 30TH ST FL 9, NEW YORK, NY 10001-4406
(212) 725-7850
Mailing address
7 W 30TH ST FL 9, NEW YORK, NY 10001-4406
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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