Provider Demographics
NPI:1184861577
Name:QIANG, XIAO MEI (L AC)
Entity Type:Individual
Prefix:
First Name:XIAO MEI
Middle Name:
Last Name:QIANG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 EDWIN AVE
Mailing Address - Street 2:APT. 1C
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-3440
Mailing Address - Country:US
Mailing Address - Phone:917-583-6786
Mailing Address - Fax:
Practice Address - Street 1:1070 PARK AVE
Practice Address - Street 2:STE 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1000
Practice Address - Country:US
Practice Address - Phone:917-583-8678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-07
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3372171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist