Healthcare Provider Details

I. General information

NPI: 1427811884
Provider Name (Legal Business Name): ZHIPING XIAO FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133-38 41ST RD STE C03
FLUSHING NY
11355
US

IV. Provider business mailing address

133-38 41ST RD STE C03
FLUSHING NY
11355
US

V. Phone/Fax

Practice location:
  • Phone: 718-359-8829
  • Fax:
Mailing address:
  • Phone: 718-359-8829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number358637
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: