Provider Demographics
NPI:1457598708
Name:LI, XIU-MIN (MD)
Entity Type:Individual
Prefix:DR
First Name:XIU-MIN
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 MAMARONECK AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-1661
Mailing Address - Country:US
Mailing Address - Phone:914-257-3754
Mailing Address - Fax:914-372-9911
Practice Address - Street 1:933 MAMARONECK AVE
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-1662
Practice Address - Country:US
Practice Address - Phone:914-257-3754
Practice Address - Fax:143-729-9119
Is Sole Proprietor?:No
Enumeration Date:2009-01-08
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002888-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist