Individual
JIAXI MIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MB
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4503
Mailing address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
339240
NY
208M00000X
Hospitalist Physician
Primary
339240-01
NY
Other
Enumeration date
06/29/2022
Last updated
09/28/2025
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