Individual
TIFFANY L DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
840 GRAND CONCOURSE, 4F, BRONX, NY 10451-2914
(718) 791-8822
Mailing address
840 GRAND CONCOURSE, 4F, BRONX, NY 10451-2914
(718) 791-8822
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
728372
NY
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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