Provider Demographics
NPI:1891916466
Name:XIA, ESTHER MING JIE (LAC)
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:MING JIE
Last Name:XIA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:ESTHER
Other - Middle Name:MING JIE
Other - Last Name:XIA - LIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LAC
Mailing Address - Street 1:920 MAIN STREET
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601
Mailing Address - Country:US
Mailing Address - Phone:201-993-6115
Mailing Address - Fax:201-483-6295
Practice Address - Street 1:920 MAIN STREET
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601
Practice Address - Country:US
Practice Address - Phone:201-993-6115
Practice Address - Fax:201-483-6295
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMZ000146171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist