Individual
KING XIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1653 HUBBELL ST, BRONX, NY 10461-2905
(719) 908-8852
Mailing address
1500 WATERS PLACE, ADULT DEPARTMENT, BRONX, NY 10461
(929) 348-3464
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
570572
NY
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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