Individual
DR. SHANNON HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 MAIDEN LN, THIRD FLOOR, NEW YORK, NY 10038-4831
(646) 290-9563
(212) 532-4362
Mailing address
90 MAIDEN LN, THIRD FLOOR, NEW YORK, NY 10038-4831
(646) 290-9563
(212) 532-4362
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
211767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043748486
PHCS
NY
01
—
043748486
EMPIRE UNITED
—
01
—
113353533
MAGNACARE
—
01
—
211767
HIP
—
01
—
2268814
UNITED HEALTH
—
01
—
3170706
USHC HMO
NY
01
—
6166533
CIGNA
NY
01
—
624D91
BCBS
—
01
—
7163020
AETNA
—
01
—
9734198
GHI MEDICAID
—
01
—
OMO764
HEALTHNET
NY
01
—
P1943708
OXFORD
NY
Enumeration date
02/15/2006
Last updated
10/11/2013
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