Provider Demographics
NPI:1598001182
Name:SHANG, XAOLING (LAC)
Entity Type:Individual
Prefix:
First Name:XAOLING
Middle Name:
Last Name:SHANG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:XIAOLING
Other - Middle Name:
Other - Last Name:SHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:315 WEST 57 STREET
Mailing Address - Street 2:302
Mailing Address - City:NEWYORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-365-8386
Mailing Address - Fax:
Practice Address - Street 1:315 W 57TH ST
Practice Address - Street 2:302
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3158
Practice Address - Country:US
Practice Address - Phone:212-365-8386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-31
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004752171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist