Xiao Qing Ouyang PA

NPI 1982910576 - Physician Assistant - 363AM0700X

NPI Details
NPI 1982910576
Gender Male
Enumeration Date 08/20/2010
Last Updated 08/20/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
111 E 210TH ST
BRONX NY, 10467-2401, US
Phone (718) 920-2961
Fax (718) 920-2058
Business Location
4130 BEDFORD AVE
BROOKLYN NY, 11229-2452, US
Phone (718) 714-9686
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 013968-1
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According to our database, Xiao Qing Ouyang PA NPI is 1982910576, taxonomy code is 363AM0700X and license number is 013968-1, license state is located at New York. Xiao Qing Ouyang PA physically located at 111 E 210th St, Bronx NY, 10467-2401. NPI Number Xiao Qing Ouyang PA has the Individual type.

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1982910576 NPI number is provided on an as is basis without warranty of any kind. 1982910576 is maintained by the National Plan & Provider Enumeration System. The contents of Xiao Qing Ouyang PA are for informational purposes only.