Individual
CHARLIE XIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, MBA, PMHNP-BC
Contact information
Practice address
3097 STEINWAY ST STE 301, ASTORIA, NY 11103-3820
(864) 810-0033
(864) 806-6225
Mailing address
314 E 19TH ST, NEW YORK, NY 10003-2804
(864) 810-0033
(864) 806-6225
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406148
NY
Other
Enumeration date
07/08/2024
Last updated
09/11/2025
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