Provider Demographics
NPI:1740630714
Name:NG, XIAO MEI
Entity type:Individual
Prefix:
First Name:XIAO
Middle Name:MEI
Last Name:NG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:XIAO
Other - Middle Name:MEI
Other - Last Name:ZHENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-3770
Mailing Address - Country:US
Mailing Address - Phone:718-388-2799
Mailing Address - Fax:718-388-7443
Practice Address - Street 1:27 N 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-3770
Practice Address - Country:US
Practice Address - Phone:718-388-2799
Practice Address - Fax:718-388-7443
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061983183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist