# EUGENIA YI TONG XIAO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619507597
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 779645 | NY | — |
| 363LP2300X | Primary Care Nurse Practitioner | 310246 | NY | Yes |

## Other

- **Enumeration date:** 01/20/2020
- **Last updated:** 07/09/2021
