Provider Demographics
NPI:1598381535
Name:GAO, XUE QIN (NP)
Entity Type:Individual
Prefix:MRS
First Name:XUE QIN
Middle Name:
Last Name:GAO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6922 53RD AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-1426
Mailing Address - Country:US
Mailing Address - Phone:646-269-0432
Mailing Address - Fax:
Practice Address - Street 1:71-44 160TH ST. UNIT 1
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365-3088
Practice Address - Country:US
Practice Address - Phone:718-380-7800
Practice Address - Fax:718-380-7801
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF309597-01363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care