SHANNON HUDSON

MAIDEN LANE MEDICAL PLLC

Dr SHANNON HUDSON is a female medical professional, specializing in Obstetrics/gynecology. She graduated in 1995 from State University Of New York Health Science Center Of Syracuse.

Contact

MAIDEN LANE MEDICAL PLLC

90 MAIDEN LN
FL 3
NEW YORK
NY
100384831

Tel: 6462909560

SHANNON HUDSON Information

Npi 1548234701
Pac Id 8921160557
Professional Enrollment Id I20081216000446
Last Name HUDSON
First Name SHANNON
Middle Name
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Gender F
Credential
Medical School Name STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE
Graduation Year 1995
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MAIDEN LANE MEDICAL PLLC
Group Practice Pac Id 2365728698
Number Of Group Practice Members 22
Line 1 Street Address 90 MAIDEN LN
Line 2 Street Address FL 3
Marker Of Address Line 2 Suppression
City NEW YORK
State NY
Zip Code 100384831
Phone Number 6462909560
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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