Provider Demographics
NPI:1699249276
Name:LI, XUE (ACUPUNCTURISTS)
Entity type:Individual
Prefix:MS
First Name:XUE
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:ACUPUNCTURISTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13314 41ST AVE FL 8
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3629
Mailing Address - Country:US
Mailing Address - Phone:718-888-0065
Mailing Address - Fax:718-888-1120
Practice Address - Street 1:13314 41ST AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3629
Practice Address - Country:US
Practice Address - Phone:929-300-5050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-16
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006465171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist