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Individual

DR. MARIA HOMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9429 59TH AVE, ELMHURST, NY 11373-5150
(718) 271-7400
(718) 271-4321
Mailing address
22 WHITSON ST, FOREST HILLS, NY 11375-6852
(718) 263-5364

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
135840
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00315586
NY
01
0085974
GHI PROVIDER ID
NY
01
04894
QUEST LABS PROV ID
NY
01
1073280001 &12-01215
UNITED HEALTHCARE PROV ID
NY
01
135840
MEDICAL LICENSE
NY
01
135840A17
HF 1199 HOME CARE PROV ID
NY
01
135840N01
HIP PROVIDER ID
NY
01
16A361
EMPIRE BC&BS PROV ID
NY
01
1831X01
NYC DEPT OF HEALTH ID
NY
01
1C4455
HEALTHNET PROV ID
NY
01
31036732
LABCORP PROV ID
NY
01
54460N
CIGNA PROV ID
01
P434947
OXFORD HEALTH PLAN PROVID
NY
Enumeration date
10/25/2006
Last updated
03/07/2023
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