Provider Demographics
NPI:1972521987
Name:HO, COLETTE J (MD)
Entity type:Individual
Prefix:
First Name:COLETTE
Middle Name:J
Last Name:HO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 E 30TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8366
Mailing Address - Country:US
Mailing Address - Phone:212-614-0039
Mailing Address - Fax:212-253-9631
Practice Address - Street 1:38 EAST 32ND ST STE 802
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-242-3316
Practice Address - Fax:646-638-1440
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY191733207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNP1222OtherOXFORD
NY58N521OtherEMPIRE BC/BS
NY01576576Medicaid
NY1287304OtherUNITED
NY577665/4668359/46738OtherAETNA
NY80518OtherCIGNA
NY1287304OtherUNITED
NY01576576Medicaid