Provider Demographics
NPI:1003552605
Name:DIXON, SANDAY
Entity type:Individual
Prefix:
First Name:SANDAY
Middle Name:
Last Name:DIXON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 THIERIOT AVE APT 5I
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-3464
Mailing Address - Country:US
Mailing Address - Phone:347-208-5529
Mailing Address - Fax:
Practice Address - Street 1:1580 THIERIOT AVE APT 5I
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-3464
Practice Address - Country:US
Practice Address - Phone:347-208-5529
Practice Address - Fax:845-261-0626
Is Sole Proprietor?:No
Enumeration Date:2022-05-07
Last Update Date:2022-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist