Doctor Name: | LINDA XUAN DO |
NPI Number: | 1083718704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MS, FNP |
License Number: | F333916-1 |
Business Practice Address: | 701 N Broadway Sleepy Hollow, NY - 105911020 |
Business Phone Number: | 9143663400 |
Business Fax Number: | 9143663407 |
Mailing Address: | 22 Saw Mill River Rd, 2nd Floor HAWTHORNE |
State: | NY |
Postal Code: | 105321533 |
Phone Number: | 9145931659 |
Fax Number: | 9145931790 |
NPI Enumeration Date: | 09/12/2006 |
NPI Last Update Date: | 03/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD0400X |
License Number: | F333916-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Diabetes Educator |
Taxonomy Definition: |