Provider Demographics
NPI:1881867471
Name:LO, HO MING STANLEY (DPH)
Entity Type:Individual
Prefix:DR
First Name:HO MING
Middle Name:STANLEY
Last Name:LO
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:133-42 39TH AVE
Mailing Address - Street 2:UNIT 208
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4239
Mailing Address - Country:US
Mailing Address - Phone:718-321-7117
Mailing Address - Fax:718-321-0375
Practice Address - Street 1:133-42 39TH AVE
Practice Address - Street 2:UNIT 208
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4239
Practice Address - Country:US
Practice Address - Phone:718-321-7117
Practice Address - Fax:718-321-0375
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-04
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0499842183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist