Individual
ANNIE XIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(718) 219-9201
Mailing address
1836 W 11TH ST, BROOKLYN, NY 11223-2446
(718) 219-9201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
799901
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432704
NY
Other
Enumeration date
03/20/2023
Last updated
08/06/2023
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