Provider Demographics
NPI:1629366307
Name:O'LEARY, XIAOQING (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:XIAOQING
Middle Name:
Last Name:O'LEARY
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E 54TH ST APT 9K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5021
Mailing Address - Country:US
Mailing Address - Phone:347-756-0672
Mailing Address - Fax:718-904-2256
Practice Address - Street 1:300 E 54TH ST APT 9K
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5021
Practice Address - Country:US
Practice Address - Phone:347-756-0672
Practice Address - Fax:718-904-2256
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-15
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242504-1207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology