Provider Demographics
NPI:1902011059
Name:YE, XIAOBIN (LAC)
Entity Type:Individual
Prefix:
First Name:XIAOBIN
Middle Name:
Last Name:YE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6962 198TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-4020
Mailing Address - Country:US
Mailing Address - Phone:718-454-9838
Mailing Address - Fax:
Practice Address - Street 1:14218 38TH AVE
Practice Address - Street 2:#CF-D
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5550
Practice Address - Country:US
Practice Address - Phone:718-886-2288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002102171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist