Provider Demographics
NPI:1922013325
Name:HODO, LAURA NELL (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:NELL
Last Name:HODO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-1602
Mailing Address - Country:US
Mailing Address - Phone:617-953-6864
Mailing Address - Fax:
Practice Address - Street 1:NYU LANGONE HASSENFELD CHILDREN'S HOSPITAL
Practice Address - Street 2:430 EAST 34TH STREET
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:617-953-6864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5763881-1205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine