Individual
DR. JACEY M PUDNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 E ADAMS STREET, 2ND FL, SYRACUSE, NY 13210
(315) 464-6100
(315) 464-9246
Mailing address
725 E ADAMS STREET, 2ND FL, SYRACUSE, NY 13210
(315) 464-6100
(315) 464-9246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
318719
NY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
318719
NY
Other
Enumeration date
07/16/2019
Last updated
11/12/2025
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