Healthcare Provider Details

I. General information

NPI: 1144939919
Provider Name (Legal Business Name): XIAO HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 HILLARY LN
WESTBURY NY
11590-1647
US

IV. Provider business mailing address

66 HILLARY LN
WESTBURY NY
11590-1647
US

V. Phone/Fax

Practice location:
  • Phone: 347-931-8855
  • Fax:
Mailing address:
  • Phone: 347-931-8855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: