MEDICARE: YUWAH XIA

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	124Q00000X	Dental Hygienist	033040	NY

General Provider Information

NPI Number	:	1316746340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUWAH XIA

Provider Business Mailing Address
First Line	:	714 58TH ST STE 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5176
Country	:	US
Telephone Number	:	718-688-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	714 58TH ST STE 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-5176
Country	:	US
Telephone Number	:	718-310-9812
Fax Number	:

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

Provider Enumeration Date	:	03/11/2025
Last Update Date	:	06/29/2026

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Directions to “ YUWAH XIA ” Practice Location

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