Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jud Staller, MD

Individual provider Psychiatry Physician · NPI 1245274398

Jud Staller, MD is a Psychiatry Physician in Fayetteville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7030 E Genesee St
Fayetteville, NY 13066-1121
Phone: (315) 446-1736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 134820 (NY)
Psychiatry Physician Taxonomy 2084P0800X · Licence 134820 (NY)

Record details

NPI number1245274398
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 16, 2006
Last updated in NPPESOctober 14, 2010
Mailing address7030 E Genesee St, Fayetteville, NY 13066-1121

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