MEDICARE: DR. PEIYING XIAO M.D.

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	207RG0100X	Gastroenterology Physician	240108	NY

General Provider Information

NPI Number	:	1598966301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEIYING XIAO M.D.

Provider Business Mailing Address
First Line	:	232 BAY 7TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-3807
Country	:	US
Telephone Number	:	718-435-3890
Fax Number	:

Provider Business Practice Location Address
First Line	:	717 56TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3503
Country	:	US
Telephone Number	:	718-435-3890
Fax Number	:	718-435-3489

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

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	04/24/2025

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