Individual
GEORGE CHENG XI BAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 WILLIAM ST, NEW YORK, NY 10038-2612
(212) 312-5780
(212) 312-5795
Mailing address
575 LEXINGTON AVE RM 540, NEW YORK, NY 10022-6145
(212) 312-5780
(212) 312-5795
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
276089
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2011
Last updated
10/02/2014
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