# XIE YI MEDICAL OFFICE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922427038
- **Authorized official:** DR. YI XIE (MD)
- **Authorized official phone:** (901) 279-3831

## Contact information

- **Practice address:** 139 CENTRE ST, 715A, NEW YORK, NY 10013-4552
- **Practice address phone:** (917) 639-3284
- **Practice address fax:** (917) 639-3224
- **Mailing address:** 139 CENTRE ST, 715A, NEW YORK, NY 10013-4552
- **Mailing address phone:** (917) 639-3284
- **Mailing address fax:** (917) 639-3224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | FX3724956 | NY | Yes |

## Other

- **Enumeration date:** 04/16/2014
- **Last updated:** 04/16/2014