Provider Demographics
NPI:1073871174
Name:MAI, XIANG-YI (OTR/L)
Entity Type:Individual
Prefix:
First Name:XIANG-YI
Middle Name:
Last Name:MAI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2047 60TH ST
Mailing Address - Street 2:APT 2A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2432
Mailing Address - Country:US
Mailing Address - Phone:347-260-0801
Mailing Address - Fax:
Practice Address - Street 1:71 HESTER ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5402
Practice Address - Country:US
Practice Address - Phone:212-226-8410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY63014284225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist