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NPI Code Detail

MEDICARE: MS. ROBIN DANIELLE DIXON

MEDICARE: MS. ROBIN DANIELLE DIXON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor012283NY

General Provider Information

NPI Number : 1982000972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROBIN DANIELLE DIXON
Provider Business Mailing Address
First Line : 72 HINCHEY RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-2930
Country : US
Telephone Number : 854-672-2305
Fax Number : 585-625-0843
Provider Business Practice Location Address
First Line : 72 HINCHEY RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-2930
Country : US
Telephone Number : 585-467-2230
Fax Number : 585-625-0843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2014
Last Update Date : 12/01/2023

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