Organization
XIANG LUO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIANG NONG LUO M.D. (PRESIDENT)
(718) 465-4000
Entity
Organization
Contact information
Practice address
216-16 UNION TURNPIKE, BAYSIDE, NY 11364-3525
(718) 465-4000
(718) 776-6823
Mailing address
217-62 PECK AVENUE., QUEENS VILLAGE, NY 11427-1118
(718) 465-4000
(718) 776-6823
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
215472
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02121460
—
NY
Enumeration date
08/28/2007
Last updated
08/28/2007
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