Individual
XING PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 630-7402
(718) 630-8857
Mailing address
62 STONE HILL DR S, MANHASSET, NY 11030-4426
(718) 630-7402
(718) 630-8857
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
220809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02144829
—
NY
Enumeration date
07/12/2006
Last updated
07/08/2007
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