Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACEY M PUDNEY, MD
ActiveDR. JACEY M PUDNEY, MD is a Family Medicine healthcare provider located in SYRACUSE, New York. NPI 1720630064 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SYRACUSE, NY
Registration Details
- NPI Number
- 1720630064
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2019 (7.1258629039728 yrs)
- Last Updated
- Nov 12, 2025
- Licenses
-
318719 (NY)318719 (NY)
Practice Information
- Address
-
725 E ADAMS STREET2ND FLSYRACUSE, NY, 13210Browse NY providers · Browse ZIP 13210
- Phone
- 3154646100
- Fax
- 3154649246
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| DOROTHY R LENNON | MD | 1992702245 |
| TED J TRIANA | D.O. | 1902892482 |
| MAHESH PADMANABHAN | MD | 1073504577 |
| THERESA R LIPSKY | MD | 1861478646 |
| ROBERT S POLACHEK | MD | 1740267509 |
| MARK R PISIK | MD | 1275510026 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.