Individual
XIXI XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
18931 44TH AVE, FLUSHING, NY 11358-3405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
631223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
631223
NY BOARD OF NURSING
NY
Enumeration date
07/24/2017
Last updated
06/16/2018
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