Provider Demographics
NPI:1699658757
Name:LEI, ELIZABETH XIAO YING
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:XIAO YING
Last Name:LEI
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 UNION ST STE 3F
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5544
Mailing Address - Country:US
Mailing Address - Phone:718-559-0929
Mailing Address - Fax:
Practice Address - Street 1:3808 UNION ST STE 3F
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5544
Practice Address - Country:US
Practice Address - Phone:718-559-0929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant