Individual
JUDITH B DYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 E GENESEE ST, STE 300, SYRACUSE, NY 13210-1892
(315) 471-1044
(315) 474-4312
Mailing address
1000 E GENESEE ST, STE 300, SYRACUSE, NY 13210-1892
(315) 471-1044
(315) 474-4312
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
F301606
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2310061
—
NY
Enumeration date
10/03/2005
Last updated
04/12/2010
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