MEDICARE: MEITING XU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	20-P104779-01	NY

General Provider Information

NPI Number	:	1609700863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEITING XU

Provider Business Mailing Address
First Line	:	100 MAPLE RD APT 1403
Second Line	:
City	:	AMHERST
State	:	NY
Zip	:	14221-2950
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3435 MAIN ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14214-3001
Country	:	US
Telephone Number	:	646-594-7631
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/11/2026

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Directions to “ MEITING XU ” Practice Location

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