Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 289517 | NY |
NPI | 1053675645 |
---|---|
Provider Name | Dr. Xiannian Wu |
First Address | Jamaica, NY 11432-1121 |
Second Address | Jamaica, NY 11432-1121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2012 |
Last Update Date | 23/01/2021 |