Provider Demographics
NPI:1538225552
Name:HO, STEVE S (MD)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:S
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:STEVE
Other - Middle Name:SONG SHAN
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3907 PRINCE STREET
Mailing Address - Street 2:#3E
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5321
Mailing Address - Country:US
Mailing Address - Phone:718-321-3900
Mailing Address - Fax:718-321-9393
Practice Address - Street 1:3907 PRINCE STREET
Practice Address - Street 2:#3E
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5321
Practice Address - Country:US
Practice Address - Phone:718-321-3900
Practice Address - Fax:718-321-9393
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126132207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0401302Medicaid
A25890Medicare UPIN
NY05430Medicare ID - Type UnspecifiedGHI