Individual
MRS. XIAOLI W YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
56 BROOK RD, VALLEY STREAM, NY 11581-2416
(516) 620-0677
Mailing address
56 BROOK RD, VALLEY STREAM, NY 11581-2416
(516) 620-0677
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
003426-1
NY
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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