Individual
XIAO MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8137
(718) 635-7130
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-8137
(718) 635-7130
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0038221
NY
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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