Provider Demographics
NPI:1508664616
Name:QIAN, CUIXIA
Entity type:Individual
Prefix:
First Name:CUIXIA
Middle Name:
Last Name:QIAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-5139
Mailing Address - Country:US
Mailing Address - Phone:917-886-0846
Mailing Address - Fax:917-886-0846
Practice Address - Street 1:69 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-5139
Practice Address - Country:US
Practice Address - Phone:917-886-0846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007354-01171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist