Provider Demographics
NPI:1891894986
Name:HO, GARMAN T (MD)
Entity Type:Individual
Prefix:
First Name:GARMAN
Middle Name:T
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 CENTRE ST STE 607
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4556
Mailing Address - Country:US
Mailing Address - Phone:212-766-2800
Mailing Address - Fax:212-766-2066
Practice Address - Street 1:139 CENTRE ST STE 607
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4556
Practice Address - Country:US
Practice Address - Phone:212-766-2800
Practice Address - Fax:212-766-2066
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204645207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01862913Medicaid
NYW12Z332Medicare ID - Type Unspecified
G67045Medicare UPIN