Individual provider · Type 1 NPI

Jud Staller, MD

Child & Adolescent Psychiatry Physician · Fayetteville, NY

NPI number 1245274398 Active

Practice location

7030 E Genesee St
Fayetteville, NY 13066-1121

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X134820 (NY)
Child & Adolescent Psychiatry Physician Primary 2084P0804X134820 (NY)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1245274398

Jud Staller, MD's National Provider Identifier is 1245274398, issued on Jun 16, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Fayetteville, NY. The record was last updated on Oct 14, 2010.