person
Dr. Shannon Hudson, MD
Gynecology Physician in New York, New York
NPI 1548234701

Shannon Hudson is a Gynecology Physician based in New York, NY and is specialized in Gynecology. Shannon Hudson practices in New York, NY and has the professional credentials of MD. The NPI Number for Shannon Hudson is 1548234701 and holds a License No. 211767 (New York).

The current practice location address for Shannon Hudson is 90 Maiden Ln, New York, NY and can be reached out via phone at 646-290-9563 and via fax at 212-532-4362. You can also correspond with Shannon Hudson through the mailing address at 90 MAIDEN LN, NEW YORK, NY - 10038-4831 (mailing address contact number: 646-290-9563).

Location: 90 Maiden Ln, New York, NY, 10038-4831
person
Provider Profile Details
NPI Number
1548234701
Provider Name
Shannon Hudson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
90 Maiden Ln, New York, NY, 10038-4831
Phone Number
646-290-9563
Fax Number
212-532-4362
Provider Enumeration Date
02/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
043748486 01 EMPIRE UNITED
113353533 01 MAGNACARE
9734198 01 GHI MEDICAID
P1943708 01 NY OXFORD
043748486 01 NY PHCS
211767 01 HIP
7163020 01 AETNA
043748486 01 MAGNACARE
2268814 01 UNITED HEALTH
6166533 01 NY CIGNA
043748486 01 NY HORIZON
043748486 01 BEECH ST
OMO764 01 NY HEALTHNET
043748486 01 NY GREAT WEST
043748486 01 NY MULTIPLAN
043748486 01 HUMANA INS
3170706 01 NY USHC HMO
624D91 01 BCBS
institution
Provider Business Practice Location Address Details
Address
90 Maiden Ln
City
State
Zip
10038-4831
Phone Number
646-290-9563
Fax Number
212-532-4362
person
Provider Business Mailing Address Details
Address
90 Maiden Ln
City
State
Zip
10038-4831
Phone Number
646-290-9563
Fax Number
212-532-4362
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
211767 (New York)
Definition
Definition to come...
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