Healthcare Provider Details

I. General information

NPI: 1184374118
Provider Name (Legal Business Name): ZIYANG XU MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 11/10/2023
Certification Date: 11/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 1ST AVE
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

NYU LANGONE MEDICAL CENTER 550 FIRST AVENUE
NEW YORK NY
10016
US

V. Phone/Fax

Practice location:
  • Phone: 646-929-7800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number324727
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: