Provider Demographics
NPI:1134626054
Name:XUE, JUNFENG (MD, PHD)
Entity type:Individual
Prefix:
First Name:JUNFENG
Middle Name:
Last Name:XUE
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 RIVERSIDE DR STE 306
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-4197
Mailing Address - Country:US
Mailing Address - Phone:607-798-6700
Mailing Address - Fax:
Practice Address - Street 1:161 RIVERSIDE DR STE 306
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-4197
Practice Address - Country:US
Practice Address - Phone:607-798-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-08
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY312503-01207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine