Healthcare Provider Details

I. General information

NPI: 1538909080
Provider Name (Legal Business Name): XUEMEI YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 HILLSIDE AVE STE E
WILLISTON PARK NY
11596-2308
US

IV. Provider business mailing address

5 TERRACE CIR APT 1F
GREAT NECK NY
11021-4119
US

V. Phone/Fax

Practice location:
  • Phone: 929-426-0788
  • Fax:
Mailing address:
  • Phone: 929-426-0788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number007541
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number034023
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: