MEDICARE: DR. KENNY KENG SHING HO L.AC, PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	003214	NY
2	225100000X	Physical Therapist	035727	NY

General Provider Information

NPI Number	:	1699988535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNY KENG SHING HO L.AC, PT, DPT

Provider Business Mailing Address
First Line	:	2174 66TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-3922
Country	:	US
Telephone Number	:	646-267-7504
Fax Number	:

Provider Business Practice Location Address
First Line	:	7206 BAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-6026
Country	:	US
Telephone Number	:	646-875-1600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	12/09/2020

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