Individual
DR. LISA BETH DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
710 W 168TH ST, NI-12, NEW YORK, NY 10032-3726
(212) 305-9758
(212) 305-9657
Mailing address
1051 RIVERSIDE DR, ROOM 2702 BOX 100, NEW YORK, NY 10032-1007
(212) 543-5041
(212) 543-5085
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
166644-1
NY
2084P0800X
Psychiatry Physician
D38128
MD
Other
Enumeration date
04/03/2006
Last updated
09/17/2013
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