Most Relevant Information
Provider Data
| NPI Number: | 1003175209 |
| Provider Name: | SHU FAN LORA HO |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/08/2012 |
| Last Updated: | 05/08/2012 |
Provider Practice Location
9409 JAMAICA AVE
WOODHAVEN
NY
114212222
Practice Location Phone/Fax
| Phone: | 7188469821 |
| Fax: | 7188469527 |
Provider Mailing Location
9409 JAMAICA AVE
WOODHAVEN
NY
114212222
Provider Mailing Phone/Fax
| Phone: | 7188469821 |
| Fax: | 7188469527 |