Provider Demographics
NPI:1821262593
Name:QU, XIAONA (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MRS
First Name:XIAONA
Middle Name:
Last Name:QU
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 SCHINDLER WAY
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07004-2137
Mailing Address - Country:US
Mailing Address - Phone:973-960-3025
Mailing Address - Fax:973-364-0350
Practice Address - Street 1:4645 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10470-1612
Practice Address - Country:US
Practice Address - Phone:718-515-9664
Practice Address - Fax:718-944-1623
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002051171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist