Individual
YAN YAN SALLY XIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
865 NORTHERN BLVD, 203, GREAT NECK, NY 11021-5335
(516) 708-2540
Mailing address
865 NORTHERN BLVD, 203, GREAT NECK, NY 11021-5335
(516) 708-2540
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
273820
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2011
Last updated
09/29/2016
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