DR. MARK CARLIN HOMONOFF M.D. NPI 1003934035

NPI Information

NPI: 1003934035
Provider Name: DR. MARK CARLIN HOMONOFF, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: OCHSNER CLINIC LLC

PECOS Registration: Yes

Address:
755 N BROADWAY STE 417
SLEEPY HOLLOW, NY
ZIP 10591
Phone: (914) 366-5330
Get Directions

DR. Mark Carlin Homonoff, M.D. is a neurology psychiatry neurology in Sleepy Hollow, NY with 50 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Mark Carlin Homonoff, M.D. NPI is 1003934035. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:1974

The provider's business location address is:

755 N BROADWAY STE 417
SLEEPY HOLLOW, NY
ZIP 10591-083
Phone: (914) 366-5330

The NPI 1003934035 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 3/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	G137693	CALIFORNIA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	Q8908	TEXAS	Yes
3	2084N0400X	Psychiatry & Neurology	Neurology	0101268461	VIRGINIA	No
4	2084N0400X	Psychiatry & Neurology	Neurology	124360	NEW YORK	No
5	2084N0400X	Psychiatry & Neurology	Neurology	01084726A	INDIANA	No
6	2084N0400X	Psychiatry & Neurology	Neurology	60855	ARIZONA	No
7	2084N0400X	Psychiatry & Neurology	Neurology	86476	GEORGIA	No
8	2084N0400X	Psychiatry & Neurology	Neurology	TPME235	FLORIDA	No
9	2084N0400X	Psychiatry & Neurology	Neurology	54443	KENTUCKY	No
10	2084N0400X	Psychiatry & Neurology	Neurology	2020-03485	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01761100	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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