Provider Demographics
NPI:1134206840
Name:XU, BIN (MD, LAC,PHD)
Entity type:Individual
Prefix:DR
First Name:BIN
Middle Name:
Last Name:XU
Suffix:
Gender:M
Credentials:MD, LAC,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ETHAN ALLEN CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11720-4608
Mailing Address - Country:US
Mailing Address - Phone:631-738-9368
Mailing Address - Fax:516-873-9622
Practice Address - Street 1:5 ETHAN ALLEN CT
Practice Address - Street 2:
Practice Address - City:SOUTH SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11720-4608
Practice Address - Country:US
Practice Address - Phone:631-738-9368
Practice Address - Fax:516-873-9622
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001135171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist