| Dr Shannon Hudson, MD | |
|
90 Maiden Ln, Third Floor, New York, NY 10038-4831 | |
| (646) 290-9563 | |
| (212) 532-4362 |
| Full Name | Dr Shannon Hudson |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 90 Maiden Ln, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548234701 | NPI | - | NPPES |
| 043748486 | Other | EMPIRE UNITED | |
| 113353533 | Other | MAGNACARE | |
| 9734198 | Other | GHI MEDICAID | |
| P1943708 | Other | NY | OXFORD |
| 043748486 | Other | NY | PHCS |
| 211767 | Other | HIP | |
| 7163020 | Other | AETNA | |
| 043748486 | Other | MAGNACARE | |
| 2268814 | Other | UNITED HEALTH | |
| 6166533 | Other | NY | CIGNA |
| 043748486 | Other | NY | HORIZON |
| 043748486 | Other | BEECH ST | |
| OMO764 | Other | NY | HEALTHNET |
| 043748486 | Other | NY | GREAT WEST |
| 043748486 | Other | NY | MULTIPLAN |
| 043748486 | Other | HUMANA INS | |
| 3170706 | Other | NY | USHC HMO |
| 624D91 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 211767 (New York) | Primary |
| Entity Name | Maiden Lane Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497291074 PECOS PAC ID: 2365728698 Enrollment ID: O20170420001654 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shannon Hudson, MD 90 Maiden Ln, Third Floor, New York, NY 10038-4831 Ph: (646) 290-9563 | Dr Shannon Hudson, MD 90 Maiden Ln, Third Floor, New York, NY 10038-4831 Ph: (646) 290-9563 |
Priyanka Ghosh, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1790 Broadway, New York, NY 10019 Phone: 646-756-8282 | |
Emily Michelle Weidenbaum, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5506 | |
Dr. Bhadra B Shah, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 303 Second Ave, Suite 9, New York, NY 10003 Phone: 212-777-3920 Fax: 212-614-9376 | |
Susan Rothenberg, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10 Union Sq E, New York, NY 10003 Phone: 212-420-4236 | |
Janet Stein, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10 Union Sq E, New York, NY 10003 Phone: 212-420-2577 | |
Isaac Kligman, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1305 York Ave, 6th Floor, New York, NY 10021 Phone: 646-962-3814 Fax: 646-962-0311 | |
Dr. Melinda Huang, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 215 E 95th St, New York, NY 10128 Phone: 212-996-8000 Fax: 212-423-4644 |