Healthcare Provider Details

I. General information

NPI: 1720917610
Provider Name (Legal Business Name): JENNIFER HO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2649 SOUTH RD STE 220
POUGHKEEPSIE NY
12601-5252
US

IV. Provider business mailing address

12 MOCKINGBIRD LN
POUGHKEEPSIE NY
12601-5614
US

V. Phone/Fax

Practice location:
  • Phone: 845-471-4243
  • Fax:
Mailing address:
  • Phone: 845-625-3220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number025066
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: