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Pochu Ho

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

950 Campbell Ave, 116a, West Haven, CT 06516-2770

(203) 932-5711

PECOS Enrollment

Based on the most recent information from CMS, provider Pochu Ho does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1164432480
Provider Type
Individual
Full Name
Ho, Pochu
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/9/2006
Last Updated
8/15/2016

Contact Information

Practice Location

950 Campbell Ave, 116a, West Haven, CT 06516-2770

(203) 932-5711

Unlisted Fax

Mailing Location

950 Campbell Ave, 116a, West Haven, CT 06516-2770

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 051843 Connecticut

Provider Identifiers

ID	Description	Issuer
ID 02442111	Description Medicaid	Issuer Unlisted New York

Pochu Ho

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Behavioral Care, Integrated,Llc

Zimolo, Zoran

Lin, Hong Ju

Hannestad, Jonas O'Gara

Godleski, Linda Susan

Hermes, Eric Dietrich

Burris, Jessica Lindsay

Erdos, Joseph J

Rodrigues, Shuba

Ebert, Michael H