Jud Staller, MD - Psychiatry & Neurology in Fayetteville, NY

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Jud Staller, MD is a Psychiatry & Neurology - Child & Adolescent Psychiatry physician based in Fayetteville, New York. Jud Staller is licensed to practice in New York (license number 134820) and his current practice location is 7030 E Genesee St, Fayetteville, New York. He can be reached at his office (for appointments etc.) via phone at (315) 446-1736.

NPI number for Jud Staller is 1245274398 and his current mailing address is 7030 E Genesee St, Fayetteville, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245274398.

Contact Information

Jud Staller, MD
7030 E Genesee St,
Fayetteville, NY 13066-1121
(315) 446-1736
Not Available

Map and Direction




Physician's Profile

Full NameJud Staller
GenderMale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location7030 E Genesee St, Fayetteville, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245274398
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 10/14/2010

Medical Identifiers

Medical identifiers for Jud Staller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245274398NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 134820 (New York)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 134820 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jud Staller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jud Staller, MD
7030 E Genesee St,
Fayetteville, NY 13066-1121

Ph: (315) 446-1736		Jud Staller, MD
7030 E Genesee St,
Fayetteville, NY 13066-1121

Ph: (315) 446-1736

Reviews and Comments


Psychiatry & Neurology Doctors in Fayetteville, NY

Dr. Matthew Henry Rosa, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 7030 E Genesee St, Suite 109, Fayetteville, NY 13066
Phone: 315-510-6760    Fax: 315-446-7521
Dr. Frances G Haxton, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Lyndon Rd, Fayetteville, NY 13066
Phone: 315-449-4900    Fax: 315-449-4910
Cynthia Jackson, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 5100 Highbridge St Apt 47d, Fayetteville, NY 13066
Phone: 202-367-2678    

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