Individual
FEI YANG XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 TROY SCHENECTADY RD, LATHAM, NY 12110-1028
(518) 785-3084
(518) 785-0243
Mailing address
SPHP PAYER CREDENTIALING 4 PALISADES DRIVE, SUITE 200, ALBANY, NY 12205
(518) 591-1121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056229
NY
Other
Enumeration date
08/08/2012
Last updated
05/17/2016
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