Provider Demographics
NPI:1215948245
Name:CUI, XINGJIA (MD, MPH MS)
Entity type:Individual
Prefix:
First Name:XINGJIA
Middle Name:
Last Name:CUI
Suffix:
Gender:M
Credentials:MD, MPH MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 GREYLOCK RDG
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2333
Mailing Address - Country:US
Mailing Address - Phone:585-586-8351
Mailing Address - Fax:
Practice Address - Street 1:33 GREYLOCK RDG
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-2333
Practice Address - Country:US
Practice Address - Phone:585-586-8351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240967-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB7846Medicare PIN