Search › New York › Child & Adolescent Psychiatry Physician
Jud Staller, M.D
NPI 1245274398 · on the registry since 2006 · sole proprietor
Practice
- Address
- 7030 E Genesee St
Fayetteville, NY 13066 - Phone
- (315) 446-1736
- Organisation at this address
- Consultation Services Of Central New York - Medicine Provider, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Child & Adolescent Psychiatry Physician
2084P0804X
- Also registered as
- Psychiatry Physician
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York