Provider Demographics
NPI:1588063531
Name:XIANGSHENG MEDICINE P.C.
Entity type:Organization
Organization Name:XIANGSHENG MEDICINE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:XIANGSHENG
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-219-7772
Mailing Address - Street 1:7 DIVISION ST
Mailing Address - Street 2:5 FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-6767
Mailing Address - Country:US
Mailing Address - Phone:212-219-7772
Mailing Address - Fax:917-398-5035
Practice Address - Street 1:7 DIVISION ST
Practice Address - Street 2:5 FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-6767
Practice Address - Country:US
Practice Address - Phone:212-219-7772
Practice Address - Fax:917-398-5035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261469261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL$$$$$$$$$OtherSSN
NY03533768Medicaid