Provider Demographics
NPI:1841314762
Name:DU, SHERRIE XIAO-XIA (LAC)
Entity type:Individual
Prefix:MRS
First Name:SHERRIE
Middle Name:XIAO-XIA
Last Name:DU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 FOREMOST MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:TOWACO
Mailing Address - State:NJ
Mailing Address - Zip Code:07082-1520
Mailing Address - Country:US
Mailing Address - Phone:973-265-4723
Mailing Address - Fax:
Practice Address - Street 1:232 E 80TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0548
Practice Address - Country:US
Practice Address - Phone:646-335-7959
Practice Address - Fax:866-724-7031
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001870171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist