Provider Demographics
NPI:1730303231
Name:LEE, XINHUA
Entity Type:Individual
Prefix:DR
First Name:XINHUA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4160 MAIN ST
Mailing Address - Street 2:SUITE #206
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3806
Mailing Address - Country:US
Mailing Address - Phone:718-539-2563
Mailing Address - Fax:718-701-0382
Practice Address - Street 1:4160 MAIN ST
Practice Address - Street 2:SUITE #206
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3806
Practice Address - Country:US
Practice Address - Phone:718-539-2563
Practice Address - Fax:718-701-0382
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist