Individual
TIAN DE XU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14126 UNION TPKE, FLUSHING, NY 11367-3654
(646) 797-1736
Mailing address
14126 UNION TPKE, FLUSHING, NY 11367-3654
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2305
NY
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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