Most Relevant Information
Provider Data
| NPI Number: | 1003338500 |
| Provider Name: | STEPHANIE ABDEA HODGSON RN, MS, ACNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 431148 |
Most Important Dates
| Enumeration Date: | 07/17/2017 |
| Last Updated: | 07/17/2017 |
Provider Practice Location
550 1ST AVE
NEW YORK
NY
100166402
Practice Location Phone/Fax
| Phone: | 6467547451 |
| Fax: |
Provider Mailing Location
550 1ST AVE
NEW YORK
NY
100166402
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |