Individual
XIMING SHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
15314 PECK AVE FL 3, FLUSHING, NY 11355-5559
(646) 750-5976
Mailing address
15314 PECK AVE FL 3, FLUSHING, NY 11355-5559
(646) 750-5976
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033096
NY
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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