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Contact Information

EBONY DIX, MD
20 YORK ST RM 226
NEW HAVEN, CT06510
 Phone: 203-688-9503
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for EBONY DIX · (Female)

NPI # 1326452434
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2014
Last updated 05/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 61178
  • WV License # 27050
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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