Provider Demographics
NPI:1750017430
Name:HE, XIANAI
Entity type:Individual
Prefix:
First Name:XIANAI
Middle Name:
Last Name:HE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LISA LAM, ASSOCIATE ADMINISTRATOR CBWCHC
Mailing Address - Street 2:125 WALKER STREET,2/FLOOR NEW YORK, NY 10013
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013
Mailing Address - Country:US
Mailing Address - Phone:212-379-6998
Mailing Address - Fax:212-379-6936
Practice Address - Street 1:CBWCHC 268 CANAL STREET.NEW YORK , NY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1000
Practice Address - Country:US
Practice Address - Phone:212-226-8866
Practice Address - Fax:212-379-6936
Is Sole Proprietor?:No
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY839015163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse