Provider Demographics
NPI:1558008268
Name:XIE, SIXING
Entity Type:Individual
Prefix:
First Name:SIXING
Middle Name:
Last Name:XIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 NORTHERN BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5328
Mailing Address - Country:US
Mailing Address - Phone:516-466-4018
Mailing Address - Fax:
Practice Address - Street 1:935 NORTHERN BLVD STE 303
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5328
Practice Address - Country:US
Practice Address - Phone:516-466-4018
Practice Address - Fax:516-466-4018
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-14
Last Update Date:2022-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007003-01171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist