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General NPI Number Information
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NPI Number | 1093913774
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Entity Type | Organization
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Legal Business Name | K. HO, M.D. & H. GROSS, M.D., P.C.
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 07/30/2014
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Provider Practice Location Address
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Address Line | 640 OAK TREE RD
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City | PALISADES
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State | NY
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Zip | 10964-1522
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Country | US
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Telephone | 835-359-7870
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Fax |
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Provider Business Mailing Address
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Address Line | 370 GRAND AVE SUITE 102
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4154
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Country | US
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Telephone | 201-569-8786
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Fax | 201-816-1265
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Authorized Official
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Title or Position | PRESIDENT
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Name | HARVEY GROSS
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Credential |
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Telephone | 201-567-3370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 110152
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License Number State | NY
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