Basic Information
| Provider Information | |||||||||
| NPI: | 1043665490 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HO | ||||||||
| FirstName: | GARY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 333 E 38TH ST FL 4 | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100162772 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6465017400 | ||||||||
| FaxNumber: | 6467549607 | ||||||||
| Practice Location | |||||||||
| Address1: | 462 1ST AVE STE 1A | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100169196 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125625555 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2016 | ||||||||
| LastUpdateDate: | 11/04/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 268012 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 303209 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 277972 | MA | N | Allopathic & Osteopathic Physicians | Hospitalist | 207RR0500X | 303209 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.