SearchNew York164W00000X

Shantell Dixon

NPI 1336691575 · on the registry since 2016 · sole proprietor

Practice

Address
8 Yankee Ct
Rochester, NY 14624
Phone
(585) 478-9034

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York