MEDICARE: WU XUXIA MEDICINE PC

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	207R00000X	Internal Medicine Physician
2	261QP2300X	Primary Care Clinic/Center	272308	NY

General Provider Information

NPI Number	:	1881049450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WU XUXIA MEDICINE PC

Provider Business Mailing Address
First Line	:	3712 PRINCE ST STE 3B
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-4650
Country	:	US
Telephone Number	:	718-661-0018
Fax Number	:

Provider Business Practice Location Address
First Line	:	3712 PRINCE ST STE 3B
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-4650
Country	:	US
Telephone Number	:	171-866-1001
Fax Number	:	718-661-0018

Authorized Official
Title or Position	:	PRIMARY CARE PHYSICIAN
Name	:	DR. XUXIA WU
Credential	:	MD
Telephone Number	:	718-661-0018

Provider Enumeration Date	:	05/02/2016
Last Update Date	:	11/27/2024

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Directions to “WU XUXIA MEDICINE PC ” Practice Location

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