Jessica R Dudley, MS ED TOD Valid NPI
Individual provider · Specialist · East Syracuse, NY
- NPI
- 1326302605
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- 880263 (NY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2012-07-01
- Last updated
- 2012-07-01
Practice location
6575 Kirkville Rd
East Syracuse, NY 13057-9809
(315) 701-5710