Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 0101268461 | VA |
N | 2084N0400X | Neurologist | 01084726A | IN |
N | 2084N0400X | Neurologist | 124360 | NY |
N | 2084N0400X | Neurologist | 2020-03485 | NC |
N | 2084N0400X | Neurologist | 54443 | KY |
N | 2084N0400X | Neurologist | 60855 | AZ |
N | 2084N0400X | Neurologist | 86476 | GA |
N | 2084N0400X | Neurologist | G137693 | CA |
Y | 2084N0400X | Neurologist | Q8908 | TX |
N | 2084N0400X | Neurologist | TPME235 | FL |
NPI | 1003934035 |
---|---|
Provider Name | Dr. Mark Carlin Homonoff |
First Address | New York, NY 10024-5716 |
Second Address | Sleepy Hollow, NY 10591-1083 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 29/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01761100 | (05) | NY |