Individual
DR. CLARK HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-1000
(516) 705-2854
Mailing address
2 PAGNOTTA DR, PORT JEFFERSON STATION, NY 11776-4453
(631) 331-6457
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
150687
NY
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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