Provider Demographics
NPI:1609050582
Name:QU, XUEMEI (MD)
Entity Type:Individual
Prefix:
First Name:XUEMEI
Middle Name:
Last Name:QU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 CANAL ST # 501
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4537
Mailing Address - Country:US
Mailing Address - Phone:646-666-0322
Mailing Address - Fax:646-666-0904
Practice Address - Street 1:185 CANAL ST # 501
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4537
Practice Address - Country:US
Practice Address - Phone:646-666-0322
Practice Address - Fax:646-666-0904
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY216853208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02165873Medicaid
NY02165873Medicaid
NY2I0101Medicare PIN