Provider Demographics
NPI:1861770752
Name:HO, BENEDICT L (RPH)
Entity type:Individual
Prefix:MR
First Name:BENEDICT
Middle Name:L
Last Name:HO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16052 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-1012
Mailing Address - Country:US
Mailing Address - Phone:718-746-6158
Mailing Address - Fax:718-746-6178
Practice Address - Street 1:16052 27TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-1012
Practice Address - Country:US
Practice Address - Phone:718-746-6158
Practice Address - Fax:718-746-6178
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041975183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist