Provider Demographics
NPI:1134390818
Name:HO, WAI HONG
Entity type:Individual
Prefix:MR
First Name:WAI HONG
Middle Name:
Last Name:HO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2019 63RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-3071
Mailing Address - Country:US
Mailing Address - Phone:646-361-7087
Mailing Address - Fax:929-383-6123
Practice Address - Street 1:1726 MERMAID AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-2765
Practice Address - Country:US
Practice Address - Phone:718-996-9000
Practice Address - Fax:718-449-5106
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-20
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045665183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist