Individual
DYLAN L JUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6846 BUCKLEY RD STE 1, NORTH SYRACUSE, NY 13212-4270
(315) 410-6400
(315) 410-6410
Mailing address
6846 BUCKLEY RD STE 1, NORTH SYRACUSE, NY 13212-4270
(315) 410-6400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
026046
NY
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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