MEDICARE: XIAO ACUPUNCTURE CARE P.C

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	171100000X	Acupuncturist	004817	NY

General Provider Information

NPI Number	:	1972981033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XIAO ACUPUNCTURE CARE P.C

Provider Business Mailing Address
First Line	:	363 7TH AVE
Second Line	:	SUITE 1501
City	:	NEW YORK
State	:	NY
Zip	:	10001-3904
Country	:	US
Telephone Number	:	212-643-8899
Fax Number	:	212-643-8388

Provider Business Practice Location Address
First Line	:	363 7TH AVE
Second Line	:	SUITE 1501
City	:	NEW YORK
State	:	NY
Zip	:	10001-3904
Country	:	US
Telephone Number	:	212-643-8899
Fax Number	:	212-643-8388

Authorized Official
Title or Position	:	PRESIDENT
Name	:	XIAOHONG ZHAO
Credential	:	LAC.
Telephone Number	:	212-643-8899

Provider Enumeration Date	:	05/09/2015
Last Update Date	:	05/09/2015

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