Provider Demographics
NPI:1871696948
Name:HO, CLINTON MARK (OD)
Entity type:Individual
Prefix:MR
First Name:CLINTON
Middle Name:MARK
Last Name:HO
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Gender:M
Credentials:OD
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Mailing Address - Street 1:76 ORCHARD ST
Mailing Address - Street 2:FRONT 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4511
Mailing Address - Country:US
Mailing Address - Phone:212-533-1707
Mailing Address - Fax:212-533-1779
Practice Address - Street 1:76 ORCHARD ST
Practice Address - Street 2:FRONT 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4511
Practice Address - Country:US
Practice Address - Phone:212-533-1707
Practice Address - Fax:212-533-1779
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2015-03-27
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Provider Licenses
StateLicense IDTaxonomies
NYTUV006376152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist