Provider Demographics
NPI:1306405626
Name:CAO, XINPING (LAC)
Entity type:Individual
Prefix:
First Name:XINPING
Middle Name:
Last Name:CAO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:
Other - Last Name:CAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC, LMT
Mailing Address - Street 1:323 E MIDDLE COUNTRY RD STE 3
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2822
Mailing Address - Country:US
Mailing Address - Phone:631-780-5511
Mailing Address - Fax:631-780-5512
Practice Address - Street 1:323 E MIDDLE COUNTRY RD STE 3
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2822
Practice Address - Country:US
Practice Address - Phone:631-780-5511
Practice Address - Fax:631-780-5512
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-10
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031492225700000X
NY006503171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY006503OtherACUPUNCTURE LICENSE
NY031492OtherMASSAGE THERAPY LICENSE