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Organization

MARK C HOMONOFF MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK CARLIN HOMONOFF MD (MANAGER)
(212) 580-8235
Entity
Organization

Contact information

Practice address
70 RIVERSIDE DR APT 6H, NEW YORK, NY 10024-5716
(212) 580-8235
Mailing address
70 RIVERSIDE DR APT 6H, NEW YORK, NY 10024-5716
(212) 580-8235

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
124360
NY

Other

Enumeration date
12/30/2011
Last updated
12/30/2011
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