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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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HOMONOFF, MARK CARLIN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 70 RIVERSIDE DRIVE
APT 6H
NEW YORK NY 10024-5716

Address last updated on 12/7/2024
Phone #: (212) 729-8789
Fax #:
County: NOT OKLAHOMA
License: 35028
Dated: 8/1/2019
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Neurology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: A Einstein Col Med Yeshiva Univ, Bronx Ny 10461
Graduated: 5 / 1974
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
70 RIVERSIDE DRIVE
APT 6H
NEW YORK NY 10024-5716

Phone #: (212) 729-8789
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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