Individual
XIAOCHUAN XIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
55 HUDSON AVE, NYACK, NY 10960
(347) 725-5998
Mailing address
PO BOX 421, NYACK, NY 10960-0421
(347) 725-5998
Taxonomy
Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
002556
NY
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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