Provider Demographics
NPI:1629501242
Name:XIAO, EMILY YA (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:YA
Last Name:XIAO
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 1:601 ELMWOOD AVENUE
Mailing Address - Street 2:BOX 679
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642
Mailing Address - Country:US
Mailing Address - Phone:585-275-4290
Mailing Address - Fax:585-473-1573
Practice Address - Street 1:601 ELMWOOD AVENUE
Practice Address - Street 2:#679
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-1544
Practice Address - Country:US
Practice Address - Phone:585-275-4290
Practice Address - Fax:585-473-1573
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program