Individual
DR. LISA MARIE COOPER HUDGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
505 E 70TH ST FL 2, NEW YORK, NY 10021-4872
(212) 746-6972
(212) 702-9588
Mailing address
504 E 74TH ST, 5TH FLOOR, NEW YORK, NY 10021-3486
(212) 249-4061
(212) 249-4659
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
151202
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01626466
—
NY
Enumeration date
04/05/2006
Last updated
02/12/2025
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